Bilateral post-traumatic adrenal hemorrhage. Case report of a patient withacute adrenal insufficiency.

Bilateral adrenal haemorrhage of traumatic origin is rarely observed or pos sibly missed in severely multi-traumatised patients. It can lead to a poten tially fatal adrenal shock. its emergency diagnosis is made by imaging tech niques, usually by CT-scan. Early substitution therapy has to be done. This complication emphasizes the importance of an immediate abdominal morpholog ical exploration in multi-traumatised patients when this is feasible. (C) 2 000 Editions scientifiques et medicales Elsevier SAS.