logo image banner image
Browse all Articles
Browse by Country
Browse by University
Browse by Subject
Browse by Journal
Browse by Author

Sponsor image

Sponsor our database

Main Sponsors:

1. King Saud University

Copyright © 2009 Arab Repository
All rights reserved.

Our Address here
Tel: +44 (0) 7704335354

info@arabrepository.net





Home > Universities/Institutions > Egyptian Society for Neonatology > Full Article:
<< Back
Title: NEONATAL ADRENAL HEMORRHAGE: CLINCAL AND RADIOLOGICAL ASPECTS
Author(s): ABDEL-WAHED M A, AIDA EL-SHIBINY, HASSAN A T
Source: The Egyptian Journal of Neonatology, 2001, Vol. 2, No. 1,,

Abstract: Neonatal adrenal hemorrhage (NAH) is not uncommon, often clinically subtle condition that may associate perinatal hypoxia, birth trauma, and neonatal sepsis. We investigated the rate, and diagnostic characteristics of NAH among 280 sick neonates at NICU, Maternity Hospital, Ain Shams University. Twelve neonates (4.28%) were diagnosed as having NAH. There was a male predominance (7:5). The mean birth weight of neonates with NAH was 3.16 kg, mean gestational age was 38.67 weeks. The major predisposing factors were; perinatal hypoxia, traumatic delivery because of large birth weight or breech presentation, as well as neonatal septicemia. The condition was unilateral in the majority of cases (11/12), the right gland being affected mostly (10 cases), whereas the left gland was affected only once. The only bilateral case developed adrenocortical insufficiency with shock and prerenal failure that required blood transfusion, fluid adjustment, steroid treatment, and inotropic measures. Later, the condition was complicated by bilateral adrenal suppuration that justified sonography guided aspiration. The sole presentation in one case was right sided inguinoscrotal hematoma. Five cases (about 42%) within this study were asymptomatic. On the other hand, common symptoms were poor feeding and vomiting, anemia, abdominal mass, and jaundice...

Addresses: DEPARTMENTS OF PEDIATRICS, DIAGNOSTIC RADIOLOGY, AND SURGERY, FACULTY OF MEDICINE, AIN SHAMS UNIVERSITY..

FullText: Click Here to access the full text
Country Code: EG