title: Acute retroperitoneal hemorrhage and shock as presenting signs of neuroblastoma in an infant.
abstract: Adrenal hemorrhage after the neonatal period is rare. It most often occurs with coagulation disorders or child abuse. Spontaneous bleeding within an adrenal neuroblastoma has been described, but acute massive hemorrhage is exceptional. We describe a case of neuroblastoma of the adrenal gland presenting with acute life-threatening abdominal hemorrhage.
authors.affiliation: Department of Pediatrics, Antwerp University Hospital, University of Antwerp, Antwerp, Belgium.
authors.forename: Anka
authors.initials: A
authors.lastname: Meersman
authors.forename: Marek
authors.initials: M
authors.lastname: Wojciechowski
authors.forename: Wouter
authors.initials: W
authors.lastname: Vaneerdeweg
authors.forename: Philippe
authors.initials: P
authors.lastname: Jorens
authors.forename: Erna
authors.initials: E
authors.lastname: Michiels
authors.forename: José
authors.initials: J
authors.lastname: Ramet
mesh_terms: D000208:Acute Disease; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D007223:Infant; D007813:Laparotomy / Q000379:methods; D008207:Lymphatic Metastasis; D008297:Male; D009447:Neuroblastoma / Q000175:diagnosis* / Q000556:secondary / Q000628:therapy; D018570:Risk Assessment; D012422:Rupture, Spontaneous; D012771:Shock, Hemorrhagic / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D009396:Wilms Tumor / Q000175:diagnosis