Isolated adrenal gland hematoma after blunt abdominal trauma: A case report and literature review

Abstract

Isolated traumatic adrenal gland hematoma is a very rare condition. Our aim is to present a case of an isolated traumatic hematoma of the adrenal gland after a low-speed motorcycle accident without other associated injuries. A 30-year-old Caucasian male presented to the emergency department complaining of intense upper abdominal pain associated with shortness of breath. Trauma ultrasonography assessment, focused assessment with ultrasonography for trauma, was negative; emergency computed tomography (CT) imaging revealed a well-defined 3.8 cm × 2.8 cm mass in the location of his right adrenal gland. He was hospitalized for 48 h and was discharged hemodynamically stable, with normal hemoglobin levels. CT imaging at 1-month follow-up revealed a decrease in hematoma size and complete resolution of symptoms. Conservative treatment may be the method of choice for adrenal trauma, provided that patients remain hemodynamically stable and closely monitored.