Pediatric Adrenal Trauma

Etiology: blunt abdominal trauma, direct compression vs. shearing of perforated vessels vs. rapid rise in intraabdominal venous pressure
Imaging: usually on right side, usually unilateral, often associated with ipsilateral visceral injury

Radiology Cases of Adrenal Trauma

CT of adrenal hemorrhage — Axial CT with contrast of the abdomen show a low density fluid collection in the right adrenal gland and low density in the posterior aspect of the right kidney.

CT of adrenal trauma / adrenal laceration and liver trauma / liver laceration — Axial CT with contrast of the abdomen shows a large amount of fluid in the region of the right adrenal gland and areas of low density in the middle and posterior aspects of the right lobe of the liver.