BERKELEY, CA (UroToday.com) - The increasing use of computed tomography (CT) in the evaluation of trauma has uncovered an entirely new subset of patients - those with injuries that are minor and would probably not have been detected in a previous era.
As a result, it is important to re-assess our management algorithms based on contemporary cohorts.
In this study, we reviewed all traumatic adrenal injuries presenting to a busy pediatric hospital system over nearly a decade. In doing so, we were able to establish that unilateral adrenal injury in and of itself is rarely clinically significant, whereas adrenal insufficiency should be suspected in children with bilateral adrenal injury. Furthermore, children presenting with isolated unilateral adrenal injury are unlikely to develop any significant sequelae, and do not require inpatient monitoring.
Written by:
Brad Figler MD* as part of Beyond the Abstract on UroToday.com. This initiative offers a method of publishing for the professional urology community. Authors are given an opportunity to expand on the circumstances, limitations etc... of their research by referencing the published abstract.
*Fellow, Trauma and Reconstructive Urology
Harborview Medical Center/University of Washington
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Pediatric adrenal trauma in the 21st century: Children's Hospital of Atlanta Experience - Abstract
UroToday.com Pediatric Urology Section