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Neonatal adrenal hemorrhage with intraperitoneal spill managed conservatively

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Abstract

A neonate presented with anemia, hyperbilirubinemia and bilateral flank fullness at 23 days of age. Ultrasound abdomen showed bilateral adrenal hemorrhage with intraperitoneal extension on the left side. This was managed nonoperatively and the hematoma resolved completely. Literature regarding this rare entity is described.

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References

  1. De Sa DJ, Nicholls S. Hemorrhagic necrosis of the adrenal gland in perinatal infants: a clinicopathological study.J Pathol 1972; 106:133–149.

    Article  Google Scholar 

  2. Velaphi SC, Perlman JM. Neonatal adrenal hemorrhage: Clinical and abdominal sonographic findings.Clin Pediatr 2001; 40:545–548.

    Article  CAS  Google Scholar 

  3. Spencer H. On Visceral hemorrhage in stillborn children. Transactions of the Obstetricial Society of London 1892; 33: 203.

    Google Scholar 

  4. Merchant RH, Sakhalkar VS, Karnik AK, Joshi MS, Desai MP. Neonatal adrenal hemorrhage.Indian Pediatr 1992; 29 (8): 1033–1036.

    PubMed  CAS  Google Scholar 

  5. Mittelstaedt CA, Volberg FM, Merten DF, Brill PW. The sonographic diagnosis of neonatal adrenal hemorrhage.Radiology 1979; 131:453–457

    PubMed  CAS  Google Scholar 

  6. Lawson EE, Teele RL. Diagnosis of adrenal hemorrhage by ultrasound.J. Pediatr 1978; 92: 423–426.

    Article  PubMed  CAS  Google Scholar 

  7. Smith JA Jr, Middleton RG. Neonatal adrenal hemorrhage. JUrol 1979; 122(5): 674–647.

    PubMed  Google Scholar 

  8. Kirby CP, Daerdson PM. Inguinoscrotal bruising: a sign of neonatal adrenal hemorrhage.Pediatr Emerg Care 2000; 16(3) : 179.

    Article  PubMed  CAS  Google Scholar 

  9. Demi M, Salano F, Badocco R, Scalabrin U, Talenti E. Macroscopic hematuria associated with neonatal adrenal hemorrhage.Pediatr Med Chir 1985; 7 (6): 889–891.

    PubMed  CAS  Google Scholar 

  10. Black J, Williams DI. Natural history of adrenal hemorrhage in the newborn.Arch Dis Child 1973; 48:183–190.

    Article  PubMed  CAS  Google Scholar 

  11. Jarvis TL, S, Seaman WB. Idiopathic adrenal calcification in infants and children.AJR 1959; 82: 570.

    Google Scholar 

  12. Freitas J. Adrenal cortical and medullary imaging.Sem Nucl Med 1995; 15 (3): 235–250.

    Article  Google Scholar 

  13. Hill EE, Williams JA. Massive adrenal hemorrhage in the newborn.Arch Dis Child 1959; 34:178

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Medicine, Postgraduate Institute of MedicalSciences, Rohtak, India

    Seema Kapoor, Simmi K. Ratan, Anita Sharma, Shiv Sajan Saini, Jyotsna Sen, K. N. Ratan & Geeta Gathwala

  2. Department of Pediatric Surgery, Postgraduate Institute of MedicalSciences, Rohtak, India

    Simmi K. Ratan & K. N. Ratan

  3. Department of Radiodiagnosis, Postgraduate Institute of MedicalSciences, Rohtak, India

    Jyotsna Sen

Authors
  1. Seema Kapoor
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  2. Simmi K. Ratan
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  3. Anita Sharma
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  4. Shiv Sajan Saini
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  5. Jyotsna Sen
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  6. K. N. Ratan
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  7. Geeta Gathwala
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Correspondence to Seema Kapoor.

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Kapoor, S., Ratan, S.K., Sharma, A. et al. Neonatal adrenal hemorrhage with intraperitoneal spill managed conservatively. Indian J Pediatr 70, 915–917 (2003). https://doi.org/10.1007/BF02730599

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  • DOI: https://doi.org/10.1007/BF02730599

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