Adrenal Hemorrhage in a Neonate
Journal of the Korean Association of Pediatric Surgeons
;
: 204-208, 1995.
Article
Dans Coréen
| WPRIM
| ID: wpr-740630
ABSTRACT
Neonatal adrenal hemorrhage is frequently associated with birth trauma or perinatal hypoxia. Hemorrhagic necrosis of the adrenal glands is often found at autopsy and many small lesions are usually asymptomatic. A palpable abdominal mass and jaundice are the usual presenting signs. Ultrasound is very useful in the diagnosis of this lesion; however, if the mass has mixed echoic pattern, magnetic resonance imaging (MRI) is helpful for the differential diagnosis from neuroblastoma. We present the case of a female newborn who was found to have a abdominal mass on physical examination. The patient showed anemia and hyperbilirubinemia. An ultrasonogram disclosed a 3.8 × 3.0 cm suprarenal mass with mixed echoic pattern. The mass was initially suspected to be neuroblastoma. An abdominal computed tomogram was not able to differentiate the mass. Magnetic resonance imaging revealed markedly increased signal intensity on T1 and T2-weighted sequences. This findLl1g was consistent with adrenal hemorrhage. Serial sonogram demonstrated the mass that resolved completely by 12 weeks of age.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Examen physique
/
Autopsie
/
Imagerie par résonance magnétique
/
Échographie
/
Glandes surrénales
/
Parturition
/
Diagnostic
/
Diagnostic différentiel
/
Hémorragie
/
Hyperbilirubinémie
Type d'étude:
Etude diagnostique
Limites du sujet:
Femelle
/
Humains
/
Nouveau-né
langue:
Coréen
Texte intégral:
Journal of the Korean Association of Pediatric Surgeons
Année:
1995
Type:
Article
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