2020, Number 6
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Rev Mex Pediatr 2020; 87 (6)
Adrenal hemorrhage in a newborn
Torres-Batista LE, Torres-Batista FE, Torres-Castañeda I, De CN, Escalona-Fonseca M
Language: Spanish
References: 15
Page: 218-220
PDF size: 195.79 Kb.
ABSTRACT
Adrenal hemorrhage in the newborn occurs in about 0.2%; approximately 90% are unilateral. This condition is associated with perinatal trauma and neonatal asphyxia.
Presentation of the case: Newborn who had a dystocic delivery due to the use of forceps, presenting moderate depression (Apgar 1-7). At 22 hours of life, abdominal pain was detected, and right-sided adrenal hemorrhage was diagnosed by ultrasound. Conservative management was provided and the patient was discharged without complications. Conclusions:
The adrenal hemorrhage is a condition that can be difficult to detect; this report may help improve the process for its identification and treatment.
REFERENCES
Rao RH, Vagnucci AH, Amico JA. Bilateral massive adrenal hemorrhage. Early recognition and treatment. Ann Intern Med. 1989; 110: 227-235.
Khuri FJ, Alton DJ, Hardy BE, Cook GT, Churchill BM. Adrenal hemorrhage in neonates: report of 5 cases and review of the literature. J Urol. 1980; 124: 684-687.
Fanaroff M. Traumatismos del parto. En: Fanaroff AA, Behrman RE, Martin RJ, Merkatz IR. Enfermedades del feto y del recién nacido. 3ª ed. Buenos Aires: Panamericana; 1985. pp. 295-297.
Moshang T, Thornton PS. Trastornos endocrinos del recién nacido. En: Avery GB, Fletcher MA, MacDonald MG, eds. Neonatología, fisiopatología y manejo del recién nacido. Buenos Aires: Panamericana; 2001. pp. 861-87.
Claret I, Jiménez R. Traumatismos fetales y neonatales. En: Cruz M, ed. Tratado de pediatría. Barcelona: Espaxs; 1988. pp. 99-109.
Scott EM, Thomas A, McGarrigle HH, Lachelin GC. Serial adrenal ultrasonography in normal neonates. J Ultrasound Med.1990; 9: 279-283.
Del Cura RJ, Pedraza S, Gayete A; Sociedad Española de Radiología Médica. Radiología esencial. Buenos Aires: Médica Panamericana. 2010; 119 (II): 1690-1692.
Snelling CE, Erb EH. Haemorrhage and subsequent calcification of the suprarrenal. J Pediatr. 1935; 6: 22-41.
Bergami G, Malena S, Di Mario M, Fariello G. Echography in the follow-up of neonatal adrenal hemorrhage. The presentation of 14 cases. Radiol Med. 1990; 79(5): 474-478.
Navarro OM, Daneman A. Congenital and neonatal conditions. In: Kuhn JP, Caffey J, Haller JO, Slovis TL, Caffey's pediatric diagnostic imaging. 12th ed. Philadelphia: Elsevier Saunders; 2013, pp. 1274-1279.
Amoury RA, Barth GW, Hall RT, Rhodes PG, Holder TM, Ashcraft KW. Scrotal ecchymosis: sign of intraperitoneal hemorrhage in the newborn. South Med J. 1982; 75(12): 1471-1475.
Duman N, Oren H, Gülcan H, Kumral A, Olguner M, Ozkan H. Scrotal hematoma due to neonatal adrenal hemorrhage. Pediatr Int. 2004; 46(3): 360-362.
Palas J, AlObaidy M, Ramalho M. Hemiscrotal hematoma in the newborn-don't forget adrenal hemorrhage. J Pediatr. 2015; 166: 491-91.e1.
Yarci E, Arayici S, Nur SF, Emre CF, Uras N, Dilmen U. Adrenal hemorrhage presenting as a scrotal hematoma in the newborn. Arch Argent Pediatr. 2015; 113(3): e161-e163/e163.
Barrios FA, Barán WM, Sosa AL, Ligia AM, Ávalos S. Manual de atención neonatal. 2 ed. Ministerio de Salud Pública y Bienestar Social. 2016. p. 140. Disponible en: https://www.mspbs.gov.py/dependencias/portal/adjunto/9fac93-MANUALDEATENCINNEONATAL.AUTORIZADOMSPBSRESOLUCINMINISTERIALSGN816.pdf