DOI QR코드

DOI QR Code

Recurrent Post-Traumatic Adrenal Bleeding after Transcatheter Arterial Embolization: A Case Report

외상성 부신 손상에 대한 경카테터 동맥 색전술 후 재발성 출혈: 증례 보고

  • Hyojoo Kim (Department of Radiology, Wonkwang University Hospital, Wonkwang University College of Medicine) ;
  • Sang Hyun Seo (Department of Radiology, Wonkwang University Hospital, Wonkwang University College of Medicine) ;
  • Hyun Seok Jung (Department of Radiology, Wonkwang University Hospital, Wonkwang University College of Medicine)
  • 김효주 (원광대학교 의과대학 원광대학교병원 영상의학과) ;
  • 서상현 (원광대학교 의과대학 원광대학교병원 영상의학과) ;
  • 정현석 (원광대학교 의과대학 원광대학교병원 영상의학과)
  • Received : 2023.04.24
  • Accepted : 2023.06.30
  • Published : 2023.11.01

Abstract

Adrenal gland trauma is uncommon and is diagnosed at an increasing frequency using CT scans. However, owing to the rarity of this injury and its diverse clinical presentations and prognoses, there is no consensus on its management. In this case report, a 73-year-old male patient experienced recurrent bleeding in the right adrenal gland due to an in-car traffic accident, which was treated with repeated transcatheter arterial embolization.

외상성 부신 손상은 드물게 나타난다고 알려져 있으며, 최근 외상 환자에서 컴퓨터단층촬영 사용 빈도가 증가함에 따라 그 발견 빈도가 증가하고 있다. 그러나 손상의 희귀성, 임상적 표현과 예후의 다양성으로 인하여 부신 외상의 치료에 대한 명확한 지침은 형성되지 않았다. 본 증례 보고에서는 차량 사고로 인하여 재발성 우측 부신 출혈을 경험하였으며 이에 대하여 반복적인 경카테터 동맥 색전술을 이용하여 치료한 73세 남성 환자에 대하여 보고하고자 한다.

Keywords

References

  1. Fowler AM, Burda JF, Kim SK. Adrenal artery embolization: anatomy, indications, and technical considerations. AJR Am J Roentgenol 2013;201:190-201
  2. To'o KJ, Duddalwar VA. Imaging of traumatic adrenal injury. Emerg Radiol 2012;19:499-503
  3. Liao CH, Lin KJ, Fu CY, Wang SY, Yang SJ, Ouyang CH. Adrenal gland trauma: is extravasation an absolute indication for intervention? World J Surg 2015;39:1312-1319
  4. DiGiacomo JC, Gerber N, Angus LDG, Munnangi S, Cardozo-Stolberg S. Blunt adrenal injury: results of a state trauma registry review. Am Surg 2019;85:390-396
  5. DiGiacomo JC, Gerber N, Angus LDG, Munnangi S, Cardozo-Stolberg S. Acute traumatic injuries of the adrenal gland: results of analysis of the Pennsylvania trauma outcomes study registry. Trauma Surg Acute Care Open 2020;5:e000487
  6. Chernyak V, Patlas MN, Menias CO, Soto JA, Kielar AZ, Rozenblit AM, et al. Traumatic and non-traumatic adrenal emergencies. Emerg Radiol 2015;22:697-704
  7. Lee YS, Jeong JJ, Nam KH, Chung WY, Chang HS, Park CS. Adrenal injury following blunt abdominal trauma. World J Surg 2010;34:1971-1974
  8. Liao CH, Ouyang CH, Fu CY, Wang SY, Lin KJ, Kuo IM, et al. The current status and management of blunt adrenal gland trauma. Surgery 2015;157:338-343
  9. Beggs AD, Dilworth MP, Powell SL, Atherton H, Griffiths EA. A systematic review of transarterial embolization versus emergency surgery in treatment of major nonvariceal upper gastrointestinal bleeding. Clin Exp Gastroenterol 2014;7:93-104