ESPN 50th Annual Meeting

ESPN 2017


 
Does the ultrasound of the urinary tract have its place in the treatment of early neonatal jaundice?Neonatal bilateral adrenal hemorrhage:case report
IVANA TRUTIN 1 BERNARDICA VALENT MORIC 1 JESENKA BOROŇ°AK 1

1- CLINICAL HOSPITAL SESTRE MILOSRDNICE,DEPARTMENT OD PEDIATRICS
 
Introduction:

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.

Material and methods:

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 tests. Neonatal jaundice due to hemolysis of hemorrhagic content often is an accompanying sign. We present a male neonate born at term,  with  the early neonatal jaundice of unknown cause and without evidence of perinatal infection. Ultrasound of the urinary tract was made and it was seen a hypoechogenic formation in the upper poles of both kidneys, confirmed with magnetic resonance imaging (MRI) of the abdomen.

Results:

Clinical and laboratory test results showed no signs of adrenal insufficiency. There was no confirmation of embryonic tumor or neuroblastoma.

Conclusions:

Ultrasound of the urinary tract, as an available and non-invasive test, has its place in the treatment of early neonatal jaundice of unknown cause. With ultrasound monitoring of regression of formation a  further invasive treatment and unnecessary laparotomy can be avoided.