Acute Adrenal Haematoma Following Blunt Abdominal Trauma: An Overview

Background Adrenal haematoma is an uncommon finding in blunt trauma and isolated adrenal injuries are usually associated with low-impact accidents. The objective of this study was to determine the appropriate management protocol for adrenal haematoma in patients with severe abdominal blunt trauma. Methods This was a retrospective observational study conducted from March 2019 to February 2024 inshycluding all patients with a history of blunt trauma who demonstrated adrenal injury on contrast-enhanced CT CECT. Data were collected and analyzed from the Medical Records Department. Results All 11 patients had adrenal haematoma with seven cases on the right and four on the left. All patients were attended within six hours of injury. Eight patients had associated head injuries. Only one patient required surgery while all others were managed conservatively. Follow-up at 1 3 and 6 months showed that all patients were asymptomatic. The average duration of complete resolution of adrenal haematoma was three months. Conclusion Adrenal haematoma is generally self-limiting and can typically be managed non-operatively depending on the patientrsquos haemodynamic status.