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A retrospective clinical description of 7 newborn infants with adrenal haemorrhage. AM patients were born at term by vaginal delivery. Their birth weights ranged between 2,550 and 3,950, and only one was small for gestational age. Two patients had Apgar scores less than 6 at one minute and both were born by forceps delivery. The first syrnpton of adrenal haemorrhage was an abdominal mass. Diagnosis was confirmed by u!trasonography demostrating a right adrenal ecogenic mass wich displaced the Kidney which disappeared along a few and all patients survived. (Key words: newborn infants, adrenal haemorrhage, echography, diagnosis.)La hemorragia suprarrenal (HSR) en el recien nacido (RN) es infrecuente 1 . No encontramos referencias de la incidencia clinica exacta, sin embargo, existen estudios anatomopatologicos que las han detectado en 6% de las autopsias realizadas en RN 2 .En los RN pueden ocurrir condiciones patologicas que, ocasionalmente, se asocian a HSR, entre las cuales destacan los partos traumaticos, asfixia perinatal, septicemia y trastornos de coagulacion 3 ' 4 .Las manifestaciones clinicas dependen de la magnitud de la hemorragia y el compromiso funcional de la glandula. En general se evidencian por el hallazgo de una masa abdominal de flanco, ictericia, anemia, con o sin compromiso hemodinamico 1 ' 4 ' 5 ; excepcionalmente existe insuficiencia suprarrenal aguda. Otras son asintomaticas y pueden aparecer, tardi'amente, como imagenes calcificadas en estudios radiologicos posteriores. La pielografi'a y la ecografi'a son los elementos de laboratorio fundamentales en el diagnostico y seguimiento de la HSR.En la mayoria de las HSR se puede anticipar un pronostico benigno, aunque ocurren casos fatales, asociados a hemorragias extensas y bilaterales.
A retrospective clinical description of 7 newborn infants with adrenal haemorrhage. AM patients were born at term by vaginal delivery. Their birth weights ranged between 2,550 and 3,950, and only one was small for gestational age. Two patients had Apgar scores less than 6 at one minute and both were born by forceps delivery. The first syrnpton of adrenal haemorrhage was an abdominal mass. Diagnosis was confirmed by u!trasonography demostrating a right adrenal ecogenic mass wich displaced the Kidney which disappeared along a few and all patients survived. (Key words: newborn infants, adrenal haemorrhage, echography, diagnosis.)La hemorragia suprarrenal (HSR) en el recien nacido (RN) es infrecuente 1 . No encontramos referencias de la incidencia clinica exacta, sin embargo, existen estudios anatomopatologicos que las han detectado en 6% de las autopsias realizadas en RN 2 .En los RN pueden ocurrir condiciones patologicas que, ocasionalmente, se asocian a HSR, entre las cuales destacan los partos traumaticos, asfixia perinatal, septicemia y trastornos de coagulacion 3 ' 4 .Las manifestaciones clinicas dependen de la magnitud de la hemorragia y el compromiso funcional de la glandula. En general se evidencian por el hallazgo de una masa abdominal de flanco, ictericia, anemia, con o sin compromiso hemodinamico 1 ' 4 ' 5 ; excepcionalmente existe insuficiencia suprarrenal aguda. Otras son asintomaticas y pueden aparecer, tardi'amente, como imagenes calcificadas en estudios radiologicos posteriores. La pielografi'a y la ecografi'a son los elementos de laboratorio fundamentales en el diagnostico y seguimiento de la HSR.En la mayoria de las HSR se puede anticipar un pronostico benigno, aunque ocurren casos fatales, asociados a hemorragias extensas y bilaterales.
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