Is routine abdominal ultrasonography necessary in macrosomic newborns with difficult delivery?

Adrenal hemorrhage is a relatively uncommon clinical problem of the newborn period. Clinical features of adrenal hemorrhage are variable. An abdominal mass, anemia, unexplained/persistent jaundice, bluish discoloration of the scrotum may be the presenting sign. Here, we presented a macrosomic infant...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2012-07, Vol.25 (7), p.1195-1196
Main Authors: Örün, Emel, Y ld r m, Mesut, Y lmaz, Ay e Esra, Tufan, Naile
Format: Article
Language:English
Subjects:
Adrenal Gland Diseases - diagnostic imaging
Adrenal Gland Diseases - etiology
Adult
Female
Fetal Macrosomia - complications
Hematoma - diagnostic imaging
Hematoma - etiology
Humans
Infant, Newborn
Infant, Newborn, Diseases - diagnostic imaging
Infant, Newborn, Diseases - etiology
Obstetric Labor Complications
Pregnancy
Ultrasonography
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Description
Summary:Adrenal hemorrhage is a relatively uncommon clinical problem of the newborn period. Clinical features of adrenal hemorrhage are variable. An abdominal mass, anemia, unexplained/persistent jaundice, bluish discoloration of the scrotum may be the presenting sign. Here, we presented a macrosomic infant (4150 gr) whose left side adrenal hematoma associated with asphixia and early onset of hyperbilirubinemia. We concluded that the pediatricians should be considered abdominal US screening regard as internal hemorrage in macrosomic newborns who delivered with difficult labor and then seen pathologic jaundice.
ISSN:1476-7058
1476-4954
DOI:10.3109/14767058.2011.614661