Adrenal Hemorrhage : Retroperitoneal adrenal Hemorrhage usually occurs at birth or during the first postnatal days the result
of traumatic or breech delivery, large fetal size, disorders of hemostasis, perinatal asphyxia and fetal hypoxia
producing anemia from blood loss accompanied by an enlarging flank mass. Other times adrenal Hemorrhage
manifests as unexplained hyperbilirubinemia with a mass in the flank in a healthy infant. Most cases affect the
right adrenal gland (75%). Differential diagnosis includes neuroblastoma, cortical renal cysts, adrenal abscess,
obstructed upper cortical renal cyst, and obstructed upper excretory tract in duplicated kidney. Diagnosis of
neonatal adrenal hemorrhage is based on ultrasound (echo-free mass superior to downward displaced normal
kidneys with linear calcifications). Fine needle aspiration can be done to confirm the diagnosis. The hematoma
resolves gradually under supportive management by three months of age as documented by serial sonography.
Lesion evolution with progressive decrease in its size and development of calcifications on repeated
sonographic follow-up studies may be the only reliable sign in preventing unnecessary surgery.
Health Information Disclaimer: Health Information Encyclopedia is a health encyclopedia for educational purposes, but does not provide medical - health information, medical diagnosis or medical treatment for your patients.
Bookmark Health Information
Make Health Information Homepage
Advertise with Draligus.org