In Utero Adrenal Hemorrhage Associated with Fetal Distress, Subsequent Transient Neonatal Hypertension, and a Nonfunctioning Ipsilateral Kidney

Sherer, David M.; Kendig, James W.; Sickel, Joshua Z.; Salafia, Carolyn M.; Donahue, Margaret L.

doi:10.1055/s-2007-994598

Cited by 7 publications

(12 citation statements)

References 6 publications

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“…In the four cases reported in the English-language literature, adrenal hemorrhage, partial or complete ipsilateral renal function loss and hypertension were observed, and hypertension was improved following the resolution of bleeding. [2][3][4] Sherer et al [2] presented a case with transient neonatal hypertension due to in utero adrenal hemorrhage. Sirota et al [3] reported a case of newborn with adrenal hemorrhage associated with transient compression of the kidney and hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of the our knowledge, it has been reported only in a few cases in the English-language literature. [2][3][4] Here, we present a newborn who had a history of birth trauma and adrenal hemorrhage, and consequently developed hypertension. Birth trauma is a complication that sometimes occurs despite good obstetric care due to difficult labor, abnormal presentation, or large birth weight.…”

Section: Introductionmentioning

confidence: 99%

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A rare cause of hypertension in a newborn: Adrenal hemorrhage

Göksügür¹,

Bekdaş²,

Yorgun³

et al. 2015

Natl J Physiol Pharm Pharmacol

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Adrenal hemorrhage due to birth trauma is a complication that can be seen in neonates. The most common symptoms are anemia, prolonged jaundice, and a palpable mass in the abdomen. It can rarely lead to hypertension secondary to the compression effect. The clinical manifestations of hypertension in neonates may sometimes be very difficult to detect. In this article, we present a case of hypertension that developed in a neonate who had a history of birth trauma and adrenal hemorrhage. It has been reported only a few cases in the English-language literature. Therefore, neonates who had a history of birth trauma, especially adrenal hemorrhage, should be monitored carefully for hypertension.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A rare cause of hypertension in a newborn: Adrenal hemorrhage

Göksügür¹,

Bekdaş²,

Yorgun³

et al. 2015

Natl J Physiol Pharm Pharmacol

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show abstract

“…Only one case of the 14 FAH that persisted postnatally (7.1%, Table 2) was managed conservatively 3 . Three of the 22 cases with “regression or decrease in size” on postnatal imaging underwent surgery 30,32,35 . One case was followed up for 2 months 35 prior to surgical intervention.…”

Section: Resultsmentioning

confidence: 99%

Imaging and outcomes of fetal adrenal hemorrhage: A systematic review

Pham,

Biswas,

Levy

et al. 2023

Prenatal Diagnosis

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ObjectiveTo describe prenatal and postnatal imaging findings of fetal adrenal hemorrhage (FAH) and its associated perinatal outcomes, including frequency of postnatal surgical intervention.MethodA systematic literature review of seven electronic databases was conducted from inception until January 2022, with 2008 articles identified reporting prenatally identified fetal adrenal masses. Studies with confirmed FAH diagnosis were included. Quality and risk assessment were evaluated.ResultsThirty‐five studies, including 102 FAH cases, were analyzed. FAH was commonly described as cystic (28/90, 31%), anechoic (25/90, 28%), or mixed echogenic (14/90, 16%) on ultrasound. Outcome data were available for 65 cases (64%) of FAH: 9% (6/65) resolved prenatally, 35% (23/65) resolved postnatally, 34% (22/65) regressed in size after birth, and 22% (14/65) persisted postnatally. Overall, 25% (16/65) of cases underwent postnatal surgical intervention. Neuroblastoma was suspected in all 16 surgical cases. Only one case (1/16, 6%) confirmed a cystic hematoma with microscopic islets of neuroblastoma in situ on pathology.ConclusionPrenatal diagnosis of FAH is challenging due to the significant heterogeneity of ultrasound findings. Final pathology did not support the need for surgical intervention. Persistent postnatal FAH warrants shared decision making for further management based on the clinical presentation.

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“…An adrenal gland damaged by hemorrhage, or the removal of one or both glands, can result in adrenal insufficiency, which presents with seizures, hypoglycemia, hypotension, and hyponatremia. 24 When adrenal insufficiency occurs, replacement therapy is necessary to avoid the serious complications associated with this condition. A late complication of adrenal hemorrhage is hypertension.…”

Section: Adrenal Hemorrhagementioning

confidence: 99%

Part 2

Parker

2006

Advances in Neonatal Care

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Part 1 of this 2-part article, "Early Recognition and Treatment of Birth Trauma: Injuries to the Head and Face" provided readers with basic concepts related to birth trauma to the head and face. Part 2 focuses on the pathophysiology, etiology, diagnosis, treatment, and prognosis of birth injuries to the intraabdominal organs, the peripheral nerves, the spinal cord, and the skeletal system. Risk factors for birth injury to these areas are discussed along with key issues related to the nursing care of affected infants.

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In Utero Adrenal Hemorrhage Associated with Fetal Distress, Subsequent Transient Neonatal Hypertension, and a Nonfunctioning Ipsilateral Kidney

Abstract: We present an unusual case of in utero adrenal hemorrhage associated with fetal distress. This case was further complicated by transient neonatal hypertension that resolved spontaneously and a nonfunctioning ipsilateral kidney. We discuss the possible underlying pathophysiology.

Cited by 7 publications

References 6 publications

A rare cause of hypertension in a newborn: Adrenal hemorrhage

A rare cause of hypertension in a newborn: Adrenal hemorrhage

Imaging and outcomes of fetal adrenal hemorrhage: A systematic review

Part 2

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