Unilateral Adrenal Hemorrhage Accompanied by Subgaleal Hematoma with Severe Neonatal Anemia — Case Report
Mahesh Jain1*, Uma Ginjupalli2, Suvarna Dhake3 and Sulsa Jain4
1 Department of Pediatrics and Neonatology, Royal Burjeel Hospital Alain, United Arab Emirates.
2 Department of Pediatrics, Royal Burjeel hospital Alain, United Arab Emirates.
3 Department of Radiology, Burjeel royal hospital Alain, United Arab Emirates.
4 Department of Obstetrics and Gynecology. Burjeel royal hospital Alain, United Arab Emirates.
*Corresponding Author: Mahesh Jain, Department of Pediatrics and Neonatology, Royal Burjeel Hospital Alain, United Arab Emirates.
DOI: https://doi.org/10.58624/SVOAPD.2024.03.072
Received: July 07, 2024 Published: July 18, 2024
Abstract
Neonatal adrenal hemorrhage (NAH) occurs in up to 0.2% - 0.55 % of live birth. It is important to note that approximately 10% of these cases might have bilateral involvement. Various risk factors have been reported in addition to birth asphyxia such as sepsis, coagulation disorder, traumatic delivery, and perinatal injuries. However, in a substantial proportion of cases the etiology of bleeding cannot be established. In most cases the event is asymptomatic but in others it may be so devastating and can lead to prolonged adrenal insufficiency and severe cases to shock if not recognized early. This case describes a term infant born with severe anemia in the setting of unilateral adrenal hemorrhage and subgaleal hematoma without resulting in adrenal insufficiency. The infant was successfully treated with blood transfusions and supportive treatment. This is a unique presentation of NAH as it was unilateral associated with right subgaleal hemorrhage and presented with severe anemia.
Keywords: 1-NAH (Neonatal adrenal hemorrhage) 2- AI (Adrenaline insufficiency) 3- IPPV (Intermittent positive pressure ventilation) 4-NICU (Neonatal intensive care unit) 5- USG- (Ultrasonogram) 6-NBL(Neuroblastoma)
Citation: Jain M, Ginjupalli U, Dhake S, Jain S. Unilateral Adrenal Hemorrhage Accompanied by Subgaleal Hematoma with Severe Neonatal Anemia — Case Report. SVOA Paediatrics 2024, 3:4, 97-101. doi:10.58624/SVOAPD.2024.03.072