Case Report


DOI :10.5222/j.child.2014.040   IUP :10.5222/j.child.2014.040    Full Text (PDF)

Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate

Gonca SandalFiliz SerdaroğluHasan Çetin

Adrenal hemorrhage in newborns is a relatively rare clinical problem. The risk factors for adrenal hemorrhage are LGA infants, asphyxia, sepsis, and hemorrhagic disease. Its clinical findings are abdominal mass, anemia due to blood loss, and unexplained jaundice. In this report, we present a term neonatal case with bilateral adrenal hemorrhage and severe unconjugated hyperbilirubinemia who required long-term intense phototherapy.

DOI :10.5222/j.child.2014.040   IUP :10.5222/j.child.2014.040    Full Text (PDF)

Term Bir Yenidoğanda Ciddi İndirekt Hiperbilirubinemi ile Seyreden Bilateral Adrenal Hemoraji

Gonca SandalFiliz SerdaroğluHasan Çetin

Adrenal hemoraji yenidoğan döneminde göreceli olarak ender klinik bir sorundur. Adrenal kanama için risk faktörleri zor doğum, LGA bebek, asfiksi, sepsis ve hemorajik hastalıklardır. Klinik bulguları; abdominal kitle, kan kaybı nedeniyle anemi, hematom içindeki kırmızı kan hücrelerinin yıkımı ve reabsorbsiyonu sonucu oluşan, nedeni açıklanamayan sarılıktır. Biz burada uzun süre yoğun fototerapi tedavisi gereken ciddi hiperbilirubinemisi olan ve bilateral adrenal hemoraji saptanan term yenidoğan bir olguyu sunmaktayız.


PDF View

References

  • 1. Gunlemez A, Karadag A, Degirmencioglu H, Uras N, Turkay S. Management of severe hyperbilirubinemia in the newborn: adrenal hematoma revisited. J Perinatol 2005;25: 803-4. http://dx.doi.org/10.1038/sj.jp.7211394 google scholar
  • 2. Katar S, Oztürkmen-Akay H, Devecioğlu C, Taşkesen M. A rare cause of hyperbilirubinemia in a newborn: bilateral adrenal hematoma. Turk J Pediatr 2008;50:485-7. google scholar
  • 3. Bergami G, Malena S, Di Mario M, Fariello G. Sonographic follow-up of neonatal adrenal hemorrhage; fourteen case reports. Radiol Med 1990;79:474-8. google scholar
  • 4. DeSa DJ, Nicholls S. Haemorrhagic necrosis of the adrenal gland in perinatal infants: a clinicopathological study. J Pathol 1972;106:133. http://dx.doi.org/10.1002/path.1711060302 google scholar
  • 5. Velaphi SC, Perlman M. Neonatal adrenal hemorrhage: clinical and abdominal sonographic findings. Clin Pediatr 2001; 40:545-8. http://dx.doi.org/10.1177/000992280104001002 google scholar
  • 6. Abdu AT, Kriss VM, Bada HS, Reynolds EW. Adrenal hemorrhage in a newborn. Am J Perinatol 2009;26:553-7. http://dx.doi.org/10.1055/s-0029-1214239 google scholar
  • 7. Mutlu M, Karagüzel G, Aslan Y, Cansu A, Okten A. Adrenal hemorrhage in newborns: a retrospective study. World J Pediatr 2011;7:355-7. http://dx.doi.org/10.1007/s12519-011-0259-7 google scholar
  • 8. Avolio L, Fusillo M, Ferrari G, Chiara A, Bragheri R. Neonatal adrenal hemorrhage manifesting as acute scrotum: timely diagnosis prevents unnecessary surgery. Urology 2002;59:601viii-601x. google scholar
  • 9. Demirel N, Baş AY, Zenciroğlu A, Taşci-Yildiz Y. Adrenal bleeding in neonates: report of 37 cases. Turk J Pediatr 2011;53:43-7. google scholar
  • 10. Lai LJ, Chen LM, Chu PY, Tseng MH, Chang CC, Lu CW. Neonatal adrenal hemorrhage associated with scrotal hematoma: an unusual case report and literature review. Pediatr Neonatol 2012;53:210-2. http://dx.doi.org/10.1016/j.pedneo.2012.04.010 google scholar
  • 11. Improda N, Capalbo D, Di Mase R, De Martino L, Coppola A, Salerno M. Acute adrenal insufficiency in a neonate with bilateral adrenal hemorrhage and combined prothrombotic risk factors. J Endocrinol Invest 2012;35:449. http://dx.doi.org/10.1007/BF03345432 google scholar
  • 12. Calisti A, Oriolo L, Molle P, Miele V, Spagnol L. Neonatal adrenal masses: do we have reliable criteria for differential diagnosis and expectant management? Minerva Pediatr 2012;64:313-8. google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Sandal, G., Serdaroğlu, F., & Çetin, H. (2014). Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate. Journal of Child, 14(1), 40-42. https://doi.org/10.5222/j.child.2014.040


AMA

Sandal G, Serdaroğlu F, Çetin H. Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate. Journal of Child. 2014;14(1):40-42. https://doi.org/10.5222/j.child.2014.040


ABNT

Sandal, G.; Serdaroğlu, F.; Çetin, H. Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate. Journal of Child, [Publisher Location], v. 14, n. 1, p. 40-42, 2014.


Chicago: Author-Date Style

Sandal, Gonca, and Filiz Serdaroğlu and Hasan Çetin. 2014. “Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate.” Journal of Child 14, no. 1: 40-42. https://doi.org/10.5222/j.child.2014.040


Chicago: Humanities Style

Sandal, Gonca, and Filiz Serdaroğlu and Hasan Çetin. Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate.” Journal of Child 14, no. 1 (Jun. 2025): 40-42. https://doi.org/10.5222/j.child.2014.040


Harvard: Australian Style

Sandal, G & Serdaroğlu, F & Çetin, H 2014, 'Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate', Journal of Child, vol. 14, no. 1, pp. 40-42, viewed 6 Jun. 2025, https://doi.org/10.5222/j.child.2014.040


Harvard: Author-Date Style

Sandal, G. and Serdaroğlu, F. and Çetin, H. (2014) ‘Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate’, Journal of Child, 14(1), pp. 40-42. https://doi.org/10.5222/j.child.2014.040 (6 Jun. 2025).


MLA

Sandal, Gonca, and Filiz Serdaroğlu and Hasan Çetin. Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate.” Journal of Child, vol. 14, no. 1, 2014, pp. 40-42. [Database Container], https://doi.org/10.5222/j.child.2014.040


Vancouver

Sandal G, Serdaroğlu F, Çetin H. Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate. Journal of Child [Internet]. 6 Jun. 2025 [cited 6 Jun. 2025];14(1):40-42. Available from: https://doi.org/10.5222/j.child.2014.040 doi: 10.5222/j.child.2014.040


ISNAD

Sandal, Gonca - Serdaroğlu, Filiz - Çetin, Hasan. Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate”. Journal of Child 14/1 (Jun. 2025): 40-42. https://doi.org/10.5222/j.child.2014.040



TIMELINE



LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE



Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.