From Bathroom Fall to Life-Threatening Shock: A Case of an occult Adrenal Gland Injury
DOI:
https://doi.org/10.31674/mjmr.2025.v09i04.007Abstract
Adrenal gland trauma is a rare but potentially life-threatening injury that is often overlooked in the acute emergency setting. Here, we present a case of a 48-year-old male who sustained a left adrenal gland injury following a fall under alcohol influence, with delayed presentation and diagnosis. This case illustrates the importance of maintaining a high index of suspicion, especially in intoxicated patients presenting with undifferentiated shock. The case further highlights the diagnostic value of whole-body computed tomography (WBCT), when specific limitations exist like in the case of bedside ultrasound and the complex interplay between alcohol-related coagulopathy and trauma outcomes.
Keywords:
Adrenal Gland Trauma, Alcohol-Related Coagulopathy, Blunt Trauma, Undifferentiated Shock, Whole-Body Computed Tomography (WBCT)Downloads
References
Al-Kandari, L., Masoomi, M., Gargani, A. E., Hamza, M. A., & Agha, R. M. (2025). Assessment of WBCT Use in Trauma Patients: A National audit for Radiology Resource Management and Limiting Radiation Exposure. medRxiv, 2025-04. https://doi.org/10.1101/2025.04.09.25325527
Chikritzhs, T., & Livingston, M. (2021). Alcohol and the risk of injury. Nutrients, 13(8), 2777. https://doi.org/10.3390/nu13082777
Elhassan, Y. S., Ronchi, C. L., Wijewickrama, P., & Baldeweg, S. E. (2023). Approach to the patient with adrenal hemorrhage. The Journal of Clinical Endocrinology & Metabolism, 108(4), 995-1006. https://doi.org/10.1210/clinem/dgac672
Messina, A., De Backer, D., & Cecconi, M. (2023). Assessment of the Macro-and Microcirculation. In Management of Dysregulated Immune Response in the Critically Ill (pp. 151-167). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-031-17572-5_9
Rayzah, M. (2025). Adrenal gland laceration in adult trauma patients without severe concomitant abdominal organ injuries: Incidence, associated factors, and outcomes from a national trauma database study. Medicine, 104(10), e41756. https://doi.org/10.1097/MD.0000000000041756
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