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 asphyxia and early onset of hyperbilirubinemia. We concluded that the pediatricians should be considered abdominal US screening regard as internal hemorrhage in macrosomic newborns who delivered with difficult labor and then seen pathologic jaundice.
A 66-year-old woman presented with back pain and arm claudication. Severe stenosis of the left proximal subclavian artery was detected incidentally by thorax computed tomography. Doppler ultrasonography and phase contrast magnetic resonance angiography (PCMRA) evaluation revealed partial subclavian steal. The stenosis was successfully treated with percutaneous stenting. Imaging findings are described and a brief review of the literature emphasizing the role of PCMRA in diagnosing partial steal is discussed.
The purpose of this study was to determine the growth of lateral ventriclar size of fetuses between 15 and 25 weeks of gestation. A prospective study of normal singleton pregnancies was evaluated consecutively. Measurement of the lateral ventricle was performed by transabdominal sonography as a part of routine obstetric examination in 338 fetuses. The mean size of the lateral ventricular atrial diameter for the 338 fetuses was 6.65 ? 0.95 mm. A weak correlation was found between gestational age and lateral ventricle width (R2 = 0.03, P < 0.001). In addition, there was a weak correlation between biparietal diameter and lateral ventricle width (R2 = 0.062, P < 0.001). The mean size was correlated with the others in the literature. The lateral ventricle size was stable across the second trimester. Since there was a weak correlation, and overlapping values throughout the gestation weeks, it seems clinically impractical to use a nomogram of the lateral ventricle size. However, a value of upper limit (10 mm) may be a clue for lateral ventricular dilatation, and close follow-up may be helpful.
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