title: Is routine abdominal ultrasonography necessary in macrosomic newborns with difficult delivery?
abstract: Adrenal hemorrhage is a relatively uncommon clinical problem of the newborn period. Clinical features of adrenal hemorrhage are variable. An abdominal mass, anemia, unexplained/persistent jaundice, bluish discoloration of the scrotum may be the presenting sign. Here, we presented a macrosomic infant (4150 gr) whose left side adrenal hematoma associated with asphyxia and early onset of hyperbilirubinemia. We concluded that the pediatricians should be considered abdominal US screening regard as internal hemorrhage in macrosomic newborns who delivered with difficult labor and then seen pathologic jaundice.
authors.affiliation: Fatih University Hospital, Department of Pediatrics, Alparslan, Turkey.
authors.forename: Emel
authors.initials: E
authors.lastname: Orün
authors.forename: Mesut
authors.initials: M
authors.lastname: Yildirim
authors.forename: Ayşe Esra
authors.initials: AE
authors.lastname: Yilmaz
authors.forename: Naile
authors.initials: N
authors.lastname: Tufan
mesh_terms: D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D000328:Adult; D005260:Female; D005320:Fetal Macrosomia / Q000150:complications*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D007744:Obstetric Labor Complications; D011247:Pregnancy; D014463:Ultrasonography