Underlying Adrenal Lesions Rare in Cases of Hemorrhage

Background: Traumatic adrenal gland hemorrhage (TAH) is uncommon and can be conservatively managed in most cases. The literature is limited regarding assessment and interval follow-up and resolution of conservatively managed TAH. Objective: To evaluate the relationship between resolution of TAH, follow-up imaging interval, and initial hematoma size and to assess the incidence of underlying adrenal masses that may mimic or predispose to hemorrhage. Design: Single-center, retrospective cross-sectional study. Methods: All trauma patients with reported adrenal hemorrhage on imaging during the 16-year study period were included. Patients were identified through radiology database search, with demographic, imaging, and hematoma data collected to evaluate associations between resolution, follow-up timing, and initial hematoma size. Results: 51% of 246 patients underwent at least 1 follow-up CT. At first follow-up (mean interval, 66.9 days), 48% showed complete resolution, 42% showed partial more...