Adrenal hemorrhage in newborns: a retrospective study

被引:28
作者
Mutlu, Mehmet [1 ]
Karaguzel, Gulay [2 ]
Aslan, Yakup [1 ]
Cansu, Aysegul [3 ]
Okten, Aysenur [2 ]
机构
[1] Karadeniz Tech Univ, Fac Med, Dept Neonatol, Trabzon, Turkey
[2] Karadeniz Tech Univ, Fac Med, Dept Pediat Endocrinol, Trabzon, Turkey
[3] Karadeniz Tech Univ, Fac Med, Dept Radiol, Trabzon, Turkey
关键词
adrenal hemorrhage; newborn; ultrasonography; SCROTAL HEMATOMA;
D O I
10.1007/s12519-011-0259-7
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Adrenal hemorrhage (AH) is a relatively uncommon condition in neonates. This study aimed to review the clinical, laboratory and ultrasonographic findings of AH in newborns. The medical records of 13 newborns with AH who had been admitted to our neonatal intensive care unit were retrospectively reviewed. Of the 13 newborns with AH, 8 (62%) were term and 10 (77%) were male babies. Clinical presentations included neonatal jaundice (85%), paleness and/or flank mass (38%), discoloration of the scrotum (15%), and hypotonia/lethargy or hypotension (8%). Five newborns had anemia and four had adrenal insufficiency. Adrenal insufficiency was observed in 80% of the premature infants with AH. AH occurred on the right side in 9 patients (69%). The most predisposing cause of AH was disseminated intravascular coagulation secondary to sepsis or perinatal hypoxia in preterm infants, and large for gestational age in term infants. Ultrasonography (USG) revealed a hypoechoic mass in 7 newborns (54%), a mixed solid-liquid mass in 5 (38%), and an echogenic mass (8%) in 1. Hemorrhage disappeared within 8.6 +/- 4.5 (4-16) weeks. AH occurs in the newborns with unexplained jaundice. Adrenal insufficiency is more frequent in preterm than in mature infants. Abdominal USG is required to determine AH in a newborn with swelling and bluish discoloration of the scrotum. Serial USG is the best modality for monitoring AH to prevent unnecessary surgery.
引用
收藏
页码:355 / 357
页数:3
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