alexa A Case Which Hypoglycemia Might Be Caused Transiently by Performing Transcatheter Arterial Embolization (TAE) for a Traumatic Adrenal Gland Injury

ISSN: 2161-1017

Endocrinology & Metabolic Syndrome

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A Case Which Hypoglycemia Might Be Caused Transiently by Performing Transcatheter Arterial Embolization (TAE) for a Traumatic Adrenal Gland Injury

Kojiro Shiga1,2*, Kenichi Kase1, Toshiaki Terauchi1, Kenji Kobayashi1 and Shigeatu Endo3
1Department of Emergency and Critical Care Medicine, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan
2Department of Thoracic Surgery, Morioka Yuai Hospital, Morioka, Japan
3Department of Orthopedics, Morioka Yuai Hospital, Morioka, Japan
*Corresponding Author: Kojiro Shiga, Department of Emergency and Critical Care Medicine, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan, Tel: +81-19-638-2222

Received Date: Mar 05, 2018 / Accepted Date: Mar 06, 2018 / Published Date: Mar 10, 2018

Case

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).

endocrinology-metabolic-Study-adrenal-gland

Figure 1: The extravasation from the right adrenal gland.

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).

endocrinology-metabolic-Study-Arterial-Embolization

Figure 2: Transcatheter Arterial Embolization: TAE; In angiography, extravasation from the superior suprarenal artery which diverged from an inferior phrenic artery was found (Left side). TAE was carried out to the inferior phrenic artery (Right side).

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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