A Case Which Hypoglycemia Might Be Caused Transiently by Performing Transcatheter Arterial Embolization (TAE) for a Traumatic Adrenal Gland Injury
Received Date: Mar 05, 2018 / Accepted Date: Mar 06, 2018 / Published Date: Mar 10, 2018
A case is 88-year-old woman. She hit by a car during walking. In Emergency room, respiratory rate 24/min., blood pressure 83/43 mmHg, and pulse 90/min. The diagnoses were the left clavicle fracture, the right multiple rib fracture, the right pneumothorax, liver injury, pelvic fracture, and the right adrenal gland injury. CT showed the extravasation from right adrenal gland (Figure 1).
In angiography, extravasation from the superior suprarenal artery which diverged from an inferior phrenic artery was found. TAE was carried out to the inferior phrenic artery (Figure 2).
The blood sugar level before TAE was 220 mg/dl, but it was 26 mg/dl after TAE. Therefore, we dripped hydrocortone 100 mg/day for 3 days, and it was improved to 122 mg/dl. There was no decline, after that. She gradually recovered from injury, and transferred to the rehabilitation hospital for walking training at 87 days after the injury.
Citation: Shiga K, Kase K, Terauchi T, Kobayashi K, Endo S (2018) A Case Which Hypoglycemia Might Be Caused Transiently by Performing Transcatheter Arterial Embolization (TAE) for a Traumatic Adrenal Gland Injury . Endocrinol Metab Syndr 7: I015. DOI: 10.4172/2161-1017.1000i015
Copyright: © 2018 Shiga K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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