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[Adrenal hemorrhage in newborn infants]
J Burgos1, S Cassis, G Kunstmann
1Unidad de Neonatología, Hospital San Juan de Dios.
Revista Chilena De Pediatria
|January 1, 1991
Summary
Seven newborns with adrenal hemorrhage, often presenting as an abdominal mass, were successfully treated. This study highlights the positive outcomes and survival rates for neonatal adrenal bleeds diagnosed via ultrasonography.
Area of Science:
- Neonatal Medicine
- Pediatric Radiology
- Clinical Pediatrics
Background:
- Adrenal hemorrhage is a rare but significant condition in newborns.
- Prompt diagnosis and management are crucial for favorable outcomes.
Purpose of the Study:
- To describe the clinical presentation and diagnostic findings of adrenal hemorrhage in a cohort of newborn infants.
- To evaluate the treatment outcomes and survival rates in affected neonates.
Main Methods:
- Retrospective analysis of clinical data from seven newborn infants diagnosed with adrenal hemorrhage.
- Diagnosis confirmed using ultrasonography to identify adrenal masses and assess displacement of adjacent organs.
Main Results:
- All seven patients were born at term, with most via vaginal delivery.
- The primary presenting symptom was an abdominal mass, with ultrasonography confirming right adrenal echogenic masses.
- All patients survived the condition, with masses resolving over time.
Conclusions:
- Neonatal adrenal hemorrhage, though presenting with concerning symptoms like abdominal masses, has a high survival rate.
- Ultrasonography is an effective diagnostic tool for identifying adrenal hemorrhage in newborns.
- Early detection and monitoring lead to successful resolution and survival.