Encapsulated adrenal hemorrhage in the newborn infant. Study of 8 cases

We report 8 cases of neonatal encapsulated adrenal haemorrhage clinically suspected and diagnosed in living newborns. Six of them were right-sided (75%), and only 2 left-sided (25%). Clinical manifestations were limited to the palpation of a flank mass and or the presence of jaundice of unknown caus...

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Bibliographic Details
Published inAnales españoles de pediatría Vol. 21; no. 3; p. 238
Main Authors Rey, A, Arena, J, Nogués, A, Albisu, Y
Format Journal Article
LanguageSpanish
Published Spain 15.09.1984
Subjects
Adrenal Gland Diseases - complications
Adrenal Gland Diseases - diagnosis
Adrenocorticotropic Hormone
Diagnosis, Differential
Female
Hemorrhage - complications
Hemorrhage - diagnosis
Humans
Infant, Newborn
Jaundice, Neonatal - etiology
Male
Ultrasonography
Urography
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Summary:We report 8 cases of neonatal encapsulated adrenal haemorrhage clinically suspected and diagnosed in living newborns. Six of them were right-sided (75%), and only 2 left-sided (25%). Clinical manifestations were limited to the palpation of a flank mass and or the presence of jaundice of unknown cause. We comment on the etiology clinical picture, diagnosis, course and treatment of adrenal haemorrhage pointing out to the importance of ultra-sonography for diagnosis and follow-up, as opposed to IVP. In four patients we could sustain the presumption of normal adrenal function by means of a rapid ACTH stimulation test.
ISSN:0302-4342