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Ultrasonografi ile Tanı ve Izlemi Yapılan Travmatik Vaginal Doğumun Komplikasyonu Olarak Yenidoğanda Adrenal Kanama

Neonatal Adrenal Hemorrhage As A Complication of Traumatic Vaginal Delivery: Diagnosis and Follow-Up With Ultrasonography

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Adrenal hemorrhage is the most common cause of an adrenal mass in the neonate. The incidence is increased in preterm infants; in prolonged or complicated deliveries. Ultrasound can, in the differential diagnosis of adrenal masses, differentiate solid from cystic masses and those masses arising from the upper pole of the kidney. In this article we wanted to drive the attention of radiologists to the possibility of adrenal hemorrhage in neonates who were born after a complicated vaginal delivery without the specific findings of asphyxia and also to the differential diagnosis of adrenal masses recognized by coincidence. The patient was discharged on the 9th day and followed up in our outpatient clinic. Ultrasonography repeated at 1st and 2nd weeks of discharge showed significant and progressive reduction in the size.
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Abstract (Original Language): 
Adrenal kanama yenidoğanda adrenal kitlenin en yaygın nedenlerinden birisidir. Pretermlerde, uzamış ve komplike doğumlarda insidansı artmaktadır. Adrenal kitlenin solid-kistik ayırımında ve ayırıcı tanısında ultrasonografi sıklıkla kullanılmaktadır. Burada asfiktik doğum bulguları olmayan, ko-insidental olarak adrenal kitle saptanan ve ultrasonografi ile kanama tanısı alan bir yenidoğan sunulmaktadır. Hasta izleminin dokuzuncu gününde taburcu edilerek poliklinik izlemine alındı, 1. ve 2. haftalarda yapılan ultrasonografide kitlenin boyutlarında anlamlı azalma saptandı.
FULL TEXT (PDF): 
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  • 2
109-111
  • Turkish

REFERENCES

References: 

1. Jacobsson H, Kaiser S, Granholm T, Ringertz HG. Neonatal adrenal
haemorrhage at bone scintigraphy: a case report. Pediatr Radiol 1998; 28: 896-8.
2. O’Neill JMD, Hendry GMA, MacKinlay GA. An unusual presentation of
neonatal adrenal hemorrhage. Europ J Ultrasound 2003; 16: 261-4.
3. Heij HA, van Amerongen T, Ekkelkamp S, Vos A. Diagnosis and management
neonatal adrenal haemorrhage. Pediatr Radiol 1989; 19: 391-4.
4. Koplewitz B, Daneman A, Cutz E, Hellman. Neonatal adrenal congestion: a
sonographic-pathologic correlation. Pediatr Radiol 1998; 28: 958-62.
5. Hamada Y, Ikebukuro K, Sato M, et al. Prenatally diagnosed cystic
neuroblastoma. Pediatr Surg Int 1999; 15: 71-4.
6. Tubergen DG, Heyn RM. In situ neuroblastoma associated with an adrenal cyst. J
Pediatr 1970; 76: 451-3.
7. Oppenheimer DA, Carroll BA. Sonography of the normal neonatal adrenal gland.
Radiology 1983; 146: 157-60.
8. Sivit CJ, Ingram JD, Taylor GA, et al. Posttraumatic adrenal hemorrhage in
children: CT findings in 34 patients. AJR 1992; 158: 1299-302.
9. Willemse AP, Coppes MJ, Feldberg MA, et al. Magnetic resonance appearance of
adrenal hemorrhage in a neonate. Pediatr Radiol 1989; 19: 210-1.

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