The Adrenal Gland: An Organ Neglected in Pediatric Trauma Cases

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AYDOGDU BAHATTIN; OKUR MEHMET HANIFI; ARSLAN SERKAN; ARSLAN MEHMET SERIF; ZEYTUN HIKMET; BASUGUY EROL; Icer Mustafa; GOYA CEMIL; Uygun Ibrahim; Cigdem Murat Kemal; Onen Abdurrahman; Otcu Selcuk

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Journal: UROLOGY JOURNAL Year:2016 | Volume:13 | Issue:6 Page(s): 2916-2919

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Title

The Adrenal Gland: An Organ Neglected in Pediatric Trauma Cases

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Keywords

adrenal gland injury

blunt abdominal trauma

diagnosis

pediatric

prevalence

Abstract

Purpose: adrenal gland injury (AGI) caused by trauma may cause bleeding and life-threatening problems in children. The objective of this study was to analyze the prevalence of AGI in final diagnoses of trauma. Materials and Methods: The records of 458 patients with abdominal trauma (out of a total 8, 200 pediatric patients with trauma of any sort), who were referred to our clinic between January 2009 and July 2014, were reviewed retrospectively. The numbers of patients with AGI and their ages, gender, trauma patterns, affected organs, pediatric trauma scores (PTSs), and injury severity scores (ISSs) were recorded, as well as the associated ultrasound (US) and tomographic scan data, treatments, and complications. Computed tomography (CT) scans obtained after trauma were subjected to both primary and secondary evaluation. Results: In total, 28 patients with AGI were detected; their average age was 8. 54 ± 4. 09 (3– 17) years. Twenty (71%) patients were male and 8 (29%) were female. Nineteen (68%) patients had fallen from heights; the most commonly injured organs were the kidneys, spleen, and lungs. Injuries were right-sided in 26 (92. 9%) patients. The mean ISS was 13. 2 (range 5– 50) and the mean PTS 8. 6 (range 0– 11). Seven patients had ISS > 16 and nine had PTS < 8. AGI was diagnosed by CT in 14 (50%) patients and in 3 (9%) by US at primary evaluation. Upon secondary scan inspection focusing on the possibility of adrenal gland injury, such injury was ultimately detected in 28 patients. All patients underwent conservative follow-up, and one died. Conclusion: We recommend calculation of the PTS, as well as other trauma scores, when pediatric patients suffering multiple or blunt abdominal trauma(s) present to the emergency. In addition, we believe that in children with trauma involving the liver, spleen or kidneys, careful evaluation using a CT scan would increase the diagnosis of AGI and reveal a realistic rate of AGI in trauma cases.

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APA: Copy

AYDOGDU, BAHATTIN, OKUR, MEHMET HANIFI, ARSLAN, SERKAN, ARSLAN, MEHMET SERIF, ZEYTUN, HIKMET, BASUGUY, EROL, Icer, Mustafa, GOYA, CEMIL, Uygun, Ibrahim, Cigdem, Murat Kemal, Onen, Abdurrahman, & Otcu, Selcuk. (2016). The Adrenal Gland: An Organ Neglected in Pediatric Trauma Cases. UROLOGY JOURNAL, 13(6), 2916-2919. SID. https://sid.ir/paper/271366/en

Vancouver: Copy

AYDOGDU BAHATTIN, OKUR MEHMET HANIFI, ARSLAN SERKAN, ARSLAN MEHMET SERIF, ZEYTUN HIKMET, BASUGUY EROL, Icer Mustafa, GOYA CEMIL, Uygun Ibrahim, Cigdem Murat Kemal, Onen Abdurrahman, Otcu Selcuk. The Adrenal Gland: An Organ Neglected in Pediatric Trauma Cases. UROLOGY JOURNAL[Internet]. 2016;13(6):2916-2919. Available from: https://sid.ir/paper/271366/en

IEEE: Copy

BAHATTIN AYDOGDU, MEHMET HANIFI OKUR, SERKAN ARSLAN, MEHMET SERIF ARSLAN, HIKMET ZEYTUN, EROL BASUGUY, Mustafa Icer, CEMIL GOYA, Ibrahim Uygun, Murat Kemal Cigdem, Abdurrahman Onen, and Selcuk Otcu, “The Adrenal Gland: An Organ Neglected in Pediatric Trauma Cases,” UROLOGY JOURNAL, vol. 13, no. 6, pp. 2916–2919, 2016, [Online]. Available: https://sid.ir/paper/271366/en

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