Adrenal hemorrhage in the neonatal intensive care unit: a four-year experience

Atiye FEDAKAR

doi:https://doi.org/10.18621/eurj.421168

Makale detayları

Adrenal hemorrhage in the neonatal intensive care unit: a four-year experience

Yazarlar:

Atiye FEDAKAR

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Jinekoloji ve diğer tıbbi uzmanlık alanları

Dergi:

The European Research Journal 2019 Vol.5 Issue 5, pp.816-821

Belge Tipi:

Makale

Yayın Tarihi:

9/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000662579

Sıklık:

İki Aylık

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.421168

Özet:

 


Objectives: Adrenal
hemorrhage is relatively uncommon and usually underestimated. This study aimed
to review the clinical, predisposing factors and ultrasonographic findings of adrenal hemorrhage newborns treated in hospital neonatal intensive care unit. 


Methods: The
medical records of 14 newborns with adrenal
hemorrhage who had
been admitted to our neonatal intensive care unit were retrospectively
reviewed. 


Results: During
the study period, 1979 patients were admitted to our neonatal intensive care
unit. Throughout the four-year follow-up of patients in the neonatal intensive
care unit, adrenal hemorrhage was diagnosed with ultrasonography
in 14 (0.70%) infants; thirteen of them were term babies, one of them was a
premature baby. Among these 14 patients, 10 (71.4%) were males, 4 (28.6%) were
females. The average birth weight was 3809.1 ± 358.5 g. Neonates
had risk factors such as: birth trauma in 5 (35.7%) newborns, perinatal
asphyxia in 4
(28.6%)
newborns, sepsis in
2 (14.3%) newborns, large
gestation age in 3 (21.4%) newborns. Resuscitation was performed in 7 (50%) infants in the delivery room. The most common clinical presentations
of the newborn with adrenal
hemorrhage
was hypotonia and lethargy (n = 5; 35.7%). Nine (64.3%) newborns had adrenal hemorrhage
on the right side, three (21.4%) of them had bilateral adrenal hemorrhage, and the last two (14.3%) had adrenal hemorrhage on left side. Resolution time of adrenal hemorrhage was a minimum of one month and
maximum of three months in ultrasonographic follow-up. 









Conclusions: If there are
anamneses of strenuous and traumatic deliveries, and any clinical suspicion, ultrasonography should be performed to exclude adrenal hemorrhage,
since it is non-invasive, and also straightforward to apply. In babies with
hematomas that are increasing in size, adrenocorticotropic hormone and cortisol levels should be analyzed to prevent any
possible adrenal insufficiency, even if there is no clinical sign. 





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Makale detayları

Adrenal hemorrhage in the neonatal intensive care unit: a four-year experience

Yazarlar: Atiye FEDAKAR

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Jinekoloji ve diğer tıbbi uzmanlık alanları

Dergi: The European Research Journal 2019 Vol.5 Issue 5, pp.816-821

Belge Tipi: Makale

Yayın Tarihi: 9/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000662579

Sıklık: İki Aylık

eISSN: 2149-3189

DOI: https://doi.org/10.18621/eurj.421168

Sayı

Yazarlar:

Atiye FEDAKAR

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Jinekoloji ve diğer tıbbi uzmanlık alanları

Dergi:

The European Research Journal 2019 Vol.5 Issue 5, pp.816-821

Belge Tipi:

Makale

Yayın Tarihi:

9/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000662579

Sıklık:

İki Aylık

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.421168