Multi-detector computed tomography in the diagnosis and characterization of adrenal gland traumatic injuries
Autor: | Diletta Cozzi, Elena Bertelli, Margherita Trinci, Riccardo Ferrari, Vittorio Miele, Gloria Addeo, Ginevra Danti, Silvia Pradella |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Adrenal gland business.industry Multi detector computed tomography Review Article medicine.disease Asymptomatic 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Hematoma Blunt Abdominal trauma 030220 oncology & carcinogenesis Mechanism of injury medicine Adrenal insufficiency Surgery Radiology medicine.symptom business |
Popis: | Adrenal gland injuries after a blunt abdominal trauma are rare events and represent important indicators for severe trauma. Multidetector CT evolution with high volumetric resolution and fast acquisition with the use of multiplanar reformatted (MPR) visualization allows for an accurate and fast diagnosis of the adrenal gland for post-traumatic pathologies. While, before its introduction the diagnosis was made mainly postmortem or during surgery. Adrenal injuries are unilateral up to 90% of the cases involving most commonly the right gland; thoracoabdominal organs injuries are often also associated. Bilateral adrenal lesions are asymptomatic, potentially leading to the development of acute adrenal insufficiency. The purpose of the present review was to determine the prevalence, the mechanism of injury and the different CT appearances of adrenal trauma. Prognosis and management of adrenal injury will also be reviewed. |
Databáze: | OpenAIRE |
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