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

Örün, Emel; Yıldırım, Mesut; Yılmaz, Ayşe Esra; Tufan, Naile

doi:10.3109/14767058.2011.614661

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Postnatal diagnosis of cystic neuroblastoma requires laboratory tests to determine neuron-specific enolase, catecholamines in 24-h urine, and MRI of the abdomen ( 4 ). There are rare cases of cystic neuroblastoma that can be spontaneously partially absorbed, therefore ultrasound follow up after birth is very important.…”

Section: Discussionmentioning

confidence: 99%

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Does Urinary Tract Ultrasound have its Place in the Treatment of Early Neonatal Jaundice? Neonatal Bilateral Adrenal Hemorrhage: Case Report

Trutin

Morić

Borošak

et al. 2018

ACC

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SUMMARY – Adrenal hemorrhage is a rare clinical entity in the neonatal period, with an incidence of 1.7-2.1/1000 births. It is more often diagnosed on the right side, whilst bilateral hemorrhage occurs in 10%-15% of cases. Clinical presentation shows a wide range of symptoms, from the signs of adrenal insufficiency to asymptomatic course of illness with incidental finding of changes on testing. Neonatal jaundice due to hemolysis of hemorrhagic content often is an accompanying sign. We present a male neonate born at term, with early neonatal jaundice of unknown cause and without evidence of perinatal infection. Ultrasound of the urinary tract revealed hypoechoic formations in the upper poles of both kidneys, confirmed by magnetic resonance imaging of the abdomen. Clinical and laboratory test results showed no signs of adrenal insufficiency. There was no confirmation of embryonic tumor or neuroblastoma. Ultrasound of the urinary tract as an available and noninvasive test has its place in the treatment of early neonatal jaundice of unknown cause. Additional invasive treatment and unnecessary laparotomy can be avoided with ultrasound monitoring of the formation regression.

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Section: Discussionmentioning

confidence: 99%

“…Differential ultrasound diagnosis of cystic formation in the projection of the adrenal gland requires exclusion of the presence of cystic neuroblastoma, embryonic tumors, adrenal abscess, dual channel system with hydronephrosis of the upper renal pole, cortical renal cysts and multicystic kidney ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Does Urinary Tract Ultrasound have its Place in the Treatment of Early Neonatal Jaundice? Neonatal Bilateral Adrenal Hemorrhage: Case Report

Trutin

Morić

Borošak

et al. 2018

ACC

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“…Nagy súllyal világra jött, macrosomia által érintett újszülötteknél gyakoribb a hasi parenchymás szervek vérzése. Súlyos esetben, valószínűleg a szülési trauma következményeként, a máj társuló sérülése esetén az újszülöttnél vérszegénység is kialakulhat [14,15]. A szülési traumán kívüli egyéb, már a szülés megindulása előtt fennálló lehetséges okok meglétét támasztja alá, hogy a megszületés után vérzésnek bizonyuló elváltozások egy része a méhen belüli élet során ultrahangvizsgálattal kimutatható, fájástevékenység nélkül is.…”

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Méhen belül felszívódó magzati mellékvesevérzés ultrahang-diagnózisa

et al. 2019

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The confirmed incidence of new-onset adrenal gland hemorrhage has increased with the development of ultrasound diagnostics in recent years. Intrauterine developed cases are rarely recognized. Differential diagnosis of cystic lesions of the adrenal gland is often only possible after birth. In our case study, we report the ultrasonographic diagnosis and follow-up of a cystic lesion measuring 4 × 3 cm in the left fetal epigastrium in the 33rd gestational week. During pregnancy, multimodal imaging methods (both ultrasound and magnetic resonance) have confirmed the diagnosis of hemorrhage in the left adrenal gland. In the 37th gestational week, the hematoma completely resolved. At term, a 4150 gram neonate was delivered in good condition by an elective cesarean section. Postnatal endocrinological and follow-up ultrasound examinations did not find any disorder. This study is the first published case report in the literature that proves that fetal adrenal hemorrhage can intrauterin spontaneously absorb within a short period of time. Our case draws attention to the fact that adrenal bleeding may occur in the newborn regardless of birth trauma. It can also be assumed that the incidence of adrenal bleeding during pregnancy is higher than that reported in neonatal cases. Orv Hetil. 2019; 160(52): 2073–2078.

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Adrenal hemorrhage in neonates: Incidence, perinatal characteristics and follow-up outcomes

Tân,

Hung,

Shen

et al. 2024

Pediatrics & Neonatology

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

Cited by 4 publications

References 6 publications

Does Urinary Tract Ultrasound have its Place in the Treatment of Early Neonatal Jaundice? Neonatal Bilateral Adrenal Hemorrhage: Case Report

Does Urinary Tract Ultrasound have its Place in the Treatment of Early Neonatal Jaundice? Neonatal Bilateral Adrenal Hemorrhage: Case Report

Méhen belül felszívódó magzati mellékvesevérzés ultrahang-diagnózisa

Adrenal hemorrhage in neonates: Incidence, perinatal characteristics and follow-up outcomes

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