RESUMO
Whereas the number of serious accidents is decreasing in France, 50% of all people involved in traffic accidents are severely injured. They suffer from multiple injuries that require multi-disciplinary care. This real public health problem carries non-negligible human and financial costs for society.
Assuntos
Traumatismo Múltiplo/epidemiologia , Acidentes/mortalidade , Acidentes/estatística & dados numéricos , Acidentes de Trânsito/mortalidade , Acidentes de Trânsito/estatística & dados numéricos , Comportamento Cooperativo , Estudos Transversais , França , Humanos , Comunicação Interdisciplinar , Traumatismo Múltiplo/mortalidade , Traumatismo Múltiplo/enfermagem , Equipe de Assistência ao Paciente , Fatores de Risco , Taxa de SobrevidaRESUMO
A 35-year-old man was admitted to hospital in a state of haemorrhagic shock after a road traffic accident. A right adrenal gland injury associated with a retroperitoneal haematoma was diagnosed by CT scan. Haemostatic surgery (without adrenal gland resection) was performed instead of angioembolisation because of an associated abdominal compartment syndrome. The outcome was favourable. The objective of this case report is to illustrate the importance of the early diagnosis of adrenal gland injuries after trauma which, though uncommon and frequently overlooked or discovered fortuitously by CT scan, can be life-threatening. Angioembolisation or surgery may be necessary in cases of uncontrolled bleeding or the development of abdominal compartmental syndrome.