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Perinatal/Neonatal Case Presentation

Management of Severe Hyperbilirubinemia in the Newborn: Adrenal Hematoma Revisited

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Abstract

A 4-day-old male infant presented with complaints of jaundice on the third day of life. He was full-term and appropriate for gestational age and born to unrelated parents. All laboratory investigation tests were normal except total serum bilirubin of 27.4 mg/dl with a direct bilirubin 0.29 mg/dl. Abdominal and cranial ultrasonography (US) was performed on sixth day of life because of severe hyperbilirubinemia. Abdominal US revealed adrenal hematoma. Enclosed hematomas may cause significant unconjugated hyperbilirubinemia in absence of other high-risk conditions.

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Authors and Affiliations

  1. Department of Pediatrics and Division of Neonatology (A.G., A.K., N.U.), Fatih University Faculty of Medicine, Ankara, Turkey

    Ayla Gunlemez MD, Ahmet Karadag MD & Nurdan Uras MD

  2. Department of Pediatrics (H.D., S.D.), Fatih University Faculty of Medicine, Ankara, Turkey

    Halil Degirmencioglu MD & Sadi Turkay MD

Authors
  1. Ayla Gunlemez MD
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  2. Ahmet Karadag MD
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  3. Halil Degirmencioglu MD
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  4. Nurdan Uras MD
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  5. Sadi Turkay MD
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This study was not sponsored.

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Gunlemez, A., Karadag, A., Degirmencioglu, H. et al. Management of Severe Hyperbilirubinemia in the Newborn: Adrenal Hematoma Revisited. J Perinatol 25, 803–804 (2005). https://doi.org/10.1038/sj.jp.7211394

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  • DOI: https://doi.org/10.1038/sj.jp.7211394

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