Michael Nathan Patlas MD, FRCPC, Presenter: Nothing to Disclose

Christine O. Menias MD, Abstract Co-Author: Nothing to Disclose

Felipe Munera MD, Abstract Co-Author: Nothing to Disclose

Ania Zofia Kielar MD, Abstract Co-Author: Nothing to Disclose

Alla M. Rozenblit MD, Abstract Co-Author: Nothing to Disclose

Luigia Romano MD, Abstract Co-Author: Nothing to Disclose

Douglas S. Katz MD, Abstract Co-Author: Nothing to Disclose

Jorge A. Soto MD, Abstract Co-Author: Nothing to Disclose

To illustrate critical imaging findings in traumatic and nontraumatic adrenal emergencies. To discuss advantages of different cross-sectional modalities for diagnosis of acute adrenal abnormalities. To review management options with emphasis on interventional radiology.

Multiple traumatic and nontraumatic adrenal emergencies are encountered during imaging of critically ill patients. Traumatic adrenal hematomas are markers of severe polytrauma and can be easily overlooked due to multiple concomitant injuries. Acute nontraumatic abnormalities are usually detected during evaluation of nonspecific abdominal pain or presentations related to acute adrenal insufficiency or paroxysmal hypertension. A high index of suspicion is required for the establishment of timely diagnosis in cases of adrenal hemorrhage or infection. Cross-sectional imaging findings of the following traumatic and nontraumatic adrenal emergencies will be illustrated and reviewed: Traumatic adrenal hematoma; Spontaneous adrenal hemorrhage related to benign and malignant tumors and iatrogenic causes; Waterhouse-Friderichsen syndrome; Adrenal infections(Histoplasmosis, Candidiasis); Large symptomatic adrenal cysts; Symptomatic pheochromocytoma. Differential diagnosis and management options will be discussed.  

http://abstract.rsna.org/uploads/2014/14000126/14000126_47dg.pdf

Patlas, M, Menias, C, Munera, F, Kielar, A, Rozenblit, A, Romano, L, Katz, D, Soto, J, Cross-sectional Imaging of Traumatic and Non Traumatic Adrenal Emergencies.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14000126.html