| Journal: | Belize journal of medicine |
| Database: | PERIÓDICA |
| System number: | 000419026 |
| ISSN: | 2225-8116 |
| Authors: | Méndez Peraza, Edna1 Ruíz Silva, María Dolores2 Díaz Riverol, Julio3 |
| Institutions: | 1Western Regional Hospital, Belmopán. Belice 2Belize Health Care Partners, Ciudad de Belice. Belice |
| Year: | 2016 |
| Season: | Jul |
| Volumen: | 5 |
| Number: | 2 |
| Pages: | 25-29 |
| Country: | Belice |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico |
| English abstract | Adrenal hemorrhage is a relatively uncommon condition (0.2%–0.55%) during the neonatal period that may lead to acute adrenal crisis, shock, and death, unless promptly recognized and treated appropriately. The precarious blood supply of the adrenal gland makes it vulnerable to hemorrhage. The differential diagnosis includes multicystic kidney, hydronephrosis, neuroblastoma and nephroblastoma. The cause of adrenal hemorrhage has been associated with traumatic birth and hypoxia, shock, septicemia, and intravascular coagulation The clinical features may include anemia, jaundice, abdominal mass, painful swelling with bluish discoloration of the scrotum, acute adrenal crisis or shock. The large majority of patients with adrenal hemorrhage do not have clinically obvious signs of adrenal insufficiency. The diagnosis is usually made incidentally at imaging performed for another reason. Since patients with unilateral or bilateral adrenal hemorrhages are usually treated conservatively, noninvasive diagnostic techniques are preferable. This report presents a case of neonatal bilateral adrenal hemorrhages diagnosed ultrasonographically |
| Disciplines: | Medicina |
| Keyword: | Diagnóstico, Endocrinología, Pediatría, Hemorragia suprarrenal, Hiperbilirrubinemia, Masa suprarrenal, Diagnóstico ecográfico abdominal |
| Keyword: | Diagnosis, Endocrinology, Pediatrics, Adrenal hemorrhage, Hyperbilirrubinemia, Adrenal hemorrhage, Abdominal ultrasound diagnosis |
| Full text: | Texto completo (Ver PDF) |
