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Focal adrenal hemorrhage: a new US appearance
Radiology
|December 1, 1986
Summary
Neonatal adrenal hemorrhage can present with varied ultrasonography (US) findings, not just a complete gland mass. Recognizing these diverse US appearances is crucial for diagnosing adrenal hemorrhage in neonates.
Area of Science:
- Medical imaging
- Pediatric radiology
- Neonatal care
Background:
- Neonatal adrenal hemorrhage is a known condition.
- Previous descriptions focused on a specific ultrasonographic appearance.
- Differential diagnosis for neonatal adrenal masses is important.
Observation:
- This study examined four cases of neonatal adrenal hemorrhage.
- Ultrasonography (US) revealed diverse appearances, including focal hemorrhage and medullary involvement.
- Computed tomography (CT) and pathological findings correlated well with US.
Findings:
- Neonatal adrenal hemorrhage does not always present as a complete gland mass on US.
- Focal adrenal hemorrhage with visualization of adjacent normal gland tissue was observed.
- Hemorrhage primarily involving the adrenal medulla was seen in one case.
Implications:
- Ultrasonography is a valuable tool for evaluating neonatal adrenal masses.
- The differential diagnosis for neonatal adrenal masses should include adrenal hemorrhage.
- Diverse US presentations of adrenal hemorrhage require consideration in clinical practice.