Bilateral masif neonatal adrenal hemoraji: Olgu sunumu

Özet

Normal vaginal yolla doğan asfiktik olgunun, doğum sonrası 2.günde kan bilirubin seviyesinin yükselmesi ve anemi gelişmesi nedeni ile yapılan US ve BT' sinde bilateral adrenal glandlarda, septalar ve internal ekolar içeren, kontraslı BT'de belirgin boyanma götermeyen kistik kitleler saptandı. Bir ay sonraki kontral incelemelerinde her iki adrenal glandda izlenen kistik kitle boyutlarında küçülme, dansitesinde azalma ve çevresel kalsifikasyon oluşumu izlendi.

Abstract

In the present paper, bilateral massive adrenal hemorrhage in an asphyxic newborn, who was born by vaginal delivery after a normal gestation period, has been reported. Second day of the delivery the patient became jaundice. His complete blood count and blood biochemical studies showed anemia and hiperbilirubinemia. Abdominal US examination showed complex and septated cystic masses in the both suprarenal areas. Abdominal computerized tomography revealed no calcifications and the mass showed no contrast enhancement after contrast media injection. One month later, abdominal CT and US revealed that the mass had become smaller and peripheral calcification had developed.