Objective：

To evaluate the value of ultrasound in the diagnosis of acute traumatic adrenal injury.

Methods：

Ultrasonographic features of 35 patients with acute traumatic adrenal injury confirmed by surgical operation and (or) CT were retrospectively analyzed.

Results：

Among 35 cases with acute traumatic adrenal injury

32 were unilateral

3 were bilateral. Thirty-one cases were correctly diagnosed and 4 cases were missed.

Conclusion：

Ultrasonography shows the size and echo change of acute traumatic adrenal injury dynamically. The acute traumatic adrenal injury with atypical ultrasonographic features could be diagnosed lastly. Ultrasonography is a bedside examination for critically ill patients in intensive care unit and operation room. It may be the commonly used imaging modality in the diagnosis of acute traumatic adrenal injury.