An Important Cause of Hyperbilirubinemia in a Newborn: Adrenal Hematoma

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dc.contributor.authorKatar, Selahattin
dc.contributor.authorTaskesen, Mustafa
dc.contributor.authorOzturkmen, Hatice Akay
dc.date.accessioned2024-04-24T17:24:25Z
dc.date.available2024-04-24T17:24:25Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim: In the present study, our aim was to investigate demographical, clinical characteristics and outcomes of management in seven patients with hyperbilirubinemia and adrenal hemorrhage detected in abdominal ultrasonography admitted with the complaint of icterus. Materials and Methods: In this retrospective study, we reviewed the medical records of seven patients with adrenal al hematoma diagnosed with abdominal ultrasonography. Physical examination findings, blood group types, direct Coombs test, total blood count, biochemical parameter, T4, TSH, G-6PD, CRP, total urine examination, PT, aPTT, treatment and duration of follow-up and abdominal ultrasonography findings were evaluated. Results: The presenting complaint was icterus. Two patients were females and five were males. All of the patients were born via vaginal delivery. One patient was born at home, six were born in hospital. On admission, physical examination findings revealed icterus in all cases, and there was abdominal mass in four of them. In the etiology of hyperbilirubinemia, blood group incompatibility (ABO, Rh or subgroup), hemolysis was not detected. All cases were diagnosed with adrenal hemorrhage. Adrenal hemorrhage was rightsided in 6 newborns, bilateral in 1. Adrenal insufficiency was not observed. Exchange transfusion was performed to 3 patients, and phototherapy was administered to 5. Resolution of adrenal hemorrhage was observed in ultrasonographic follow-up. Conclusion: In cases of hyperbilirubinemia of unknown etiology, adrenal hemorrhage must be kept in mind. Adrenal hematoma should also be considered in the differential diagnosis of hyperbilirubinemia. We recommend abdominal ultrasonography for further evaluation.en_US
dc.identifier.doi10.4274/jpr.24633
dc.identifier.endpage86en_US
dc.identifier.issn2147-9445
dc.identifier.issue2en_US
dc.identifier.startpage84en_US
dc.identifier.urihttps://doi.org/10.4274/jpr.24633
dc.identifier.urihttps://hdl.handle.net/11468/19665
dc.identifier.volume2en_US
dc.identifier.wosWOS:000219056100007
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isotren_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofJournal of Pediatric Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectNewbornen_US
dc.subjectAdrenal Hematomaen_US
dc.subjectHyperbilirubinemiaen_US
dc.titleAn Important Cause of Hyperbilirubinemia in a Newborn: Adrenal Hematomaen_US
dc.titleAn Important Cause of Hyperbilirubinemia in a Newborn: Adrenal Hematoma
dc.typeArticleen_US

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