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Case Report

Ann Med Res. 2008; 15(2): 109-111


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

İlke Mungan Akın*,  Yilmaz Tabel*, Serdal Güngör*, Ahmet Sığırcı**

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Abstract


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.

Key Words :Neonate, Ultrasonography, Adrenal hemorrhage






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