Bilateral adrenal gland hyperenhancement
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Bilateral adrenal gland hyperenhancement orintense adrenal enhancementmay be a feature of hypotension and forms part of theCT hypoperfusion complex.
It has has been described in paediatric and small adult series or individual cases of haemorrhagic shock, pancreatitis, sepsis and trauma 1-3 but has not been demonstrated in larger series of adults patients with traumatic hypoperfusion hypoperfusion 4 .
Differential diagnosis
- acute adrenal haemorrhage: more commonly right-sided and unilateral with an enlarged adrenal gland and changes in the peri-adrenal fat 2
-<p><strong>Bilateral <a href="/articles/adrenal-gland">adrenal gland</a> </strong><strong>hyperenhancement</strong> or<strong> </strong><strong>intense adrenal enhancement </strong>may be a feature of hypotension and forms part of the <a href="/articles/ct-hypotension-complex">CT hypoperfusion complex</a>.</p><p>It has has been described in paediatric and small adult series or individual cases of haemorrhagic shock, <a href="/articles/acute-pancreatitis">pancreatitis</a>, sepsis and trauma <sup>1-3 </sup>but has not been demonstrated in larger series of adults patients with traumatic hypoperfusion <sup>4</sup> . </p><h4>Differential diagnosis</h4><ul><li>acute <a href="/articles/adrenal-haemorrhage">adrenal haemorrhage</a>: more commonly right-sided and unilateral with an enlarged adrenal gland and changes in the peri-adrenal fat <sup>2</sup> </li></ul>- +<p><strong>Bilateral <a href="/articles/adrenal-gland">adrenal gland</a> </strong><strong>hyperenhancement</strong> or<strong> </strong><strong>intense adrenal enhancement </strong>may be a feature of hypotension and forms part of the <a href="/articles/ct-hypotension-complex">CT hypoperfusion complex</a>.</p><p>It has has been described in paediatric and small adult series or individual cases of haemorrhagic shock, <a href="/articles/acute-pancreatitis">pancreatitis</a>, sepsis and trauma <sup>1-3 </sup>but has not been demonstrated in larger series of adults patients with traumatic hypoperfusion <sup>4</sup> . </p><h4>Differential diagnosis</h4><ul><li>acute <a href="/articles/adrenal-haemorrhage">adrenal haemorrhage</a>: more commonly right-sided and unilateral with an enlarged adrenal gland and changes in the peri-adrenal fat <sup>2</sup> </li></ul>
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Image 2 CT (C+ arterial phase) ( create )
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