KINDERRADIOLOGIE ONLINE - view radiology images and radiology cases
Lesen Sie diese Seite auf Deutsch   Read this page in English
The Peer Reviewed Pediatric Radiology Platform on the Web
ISSN: 1942-955X :: Publisher: EduRad ::Editor-In-Chief: Roland Talanow, MD, PhD  
Browse Browse || Search Search || Online Book Systematically Online Book Systematically || Discussion Forum Discussion Forum || News News || Submit a Case Submit a Case || Rules Rules |
Most Interesting Cases Most Interesting Cases || "Most Diligent" Authors "Most Diligent" Authors || Case of the Day Case of the Day || Teaching files Teaching files || Links Links |
Newsletter Newsletter || Start Start || Survey Survey || Your Opinion Your Opinion || My Profile My Profile || CME-Credits CME-Credits |
    Pediatric Radiology News / Ads / Jobs Get the Pediatric Radiology News as RSS feed !
    Send us your news or ads for free
  • Lung Ultrasound for Diagnosing Pneumothorax in the Critically Ill Neonate.... (J Pediatr)
  • Severe Radiation Necrosis Successfully Treated With Bevacizumab in an Infant with Low-Grade Glioma a... (Pediatr Blood Cancer)
  • Cerebral Hyperperfusion in a Child with Stroke-Like Migraine Attacks after Radiation Therapy Syndrom... (Neuropediatrics)
  • CME Kurs: Paediatric Body MRI

  • CME course: Paediatric Body MRI

  • Universitätsklinikum Jena sucht eine Ärztin/einen Arzt in Weiterbildung in Vollzeit

  • Kinderspital Zürich sucht Oberärztin / Oberarzt (100 %)

  • Kinderradiologische Oberärztin / Oberarzt gesucht

  • 2 Stellen in der Kinderradiologie - 1 Assistenzärztin/Assistenzarzt und 1 Oberärztin/Oberarzt in Voll- oder Teilzeit

  • Senior Paediatric Radiologist in Pediatric Radiology section needed

  • Facharzt als Oberärztin / Oberarzt in Sektion Kinderradiologie gesucht

  • Stellenangebot für Assistenzarzt (m/w) zur Facharztausbildung für RADIOLOGIE und/oder KINDERRADIOLOGIE

  • „Fellow“-Stelle zur Weiterbildung in Pädiatrischer Radiologie am Kinderspital Zürich

  • Fellow-Stelle Pädiatrische Neuroradiologie

  • FFF Kinderradiologie - Muskuloskelettale Radiologie im Kindesalter (Fit für den Facharzt)

  • Assistenzarzt für Kinderradiologe gesucht an Universitätsklinikum Schleswig-Holstein, Campus Kiel

  • Turnusarzt (m/w) in Ausbildung zum Facharzt (m/w) für Radiologie

  • Assistenzarzt (m/w) zur Weiterbildung im Schwerpunkt Kinderradiologie

  • Send us your news or ads for free

    Get the Pediatric Radiology News as RSS feed !


    Radiolopolis

    The dynamic Radiology community for education, research and practice


     

    Go to the top of the page   ID: 20040105194544 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

    Bookmark and Share


    | The Authors | Discussion | Write a Comment to this Case |
    | Evaluate this Case | Recommend this Case to a Colleague | Survey Results |
    | Citation | Similar Cases | Similar Cases in the Internet | Images to this Case |
     
    Adrenal hemorrhage in a Newborn
    A Nordwig, S Jess, H Hetschko. Adrenal hemorrhage in a Newborn. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040105194544


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    A. Nordwig, S. Jess, H. Hetschko (Halle-Dölau)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    Newborn  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Renals  

     
     Pediatric Radiology CasesMost likely etiology:

    circulatory  

     
     Pediatric Radiology CasesHistory:

    - Eutrophic newborn
    - Complicated spontaneous breech delivery
    - Amniotic aspiration with infiltrate in the area of the right lower lung lobe. Uncomplicated course.
    - Sonographic screening in the 9th day postpartum  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    A suprarenal/adrenal hemorrhage can be found in 2 to 4 cases out of 1000 newborns and can occur prenatally or postnatally. The most important causes are birth trauma, neonatal asphyxia, systemic disorders and newborn sepsis. With 70%, the right adrenal gland is affected more frequently than the left. Bilateral hemorrhage can be occur in about 5 - 10% - in this case, a corticosteroid substitution may be necessary and necessitating longterm follow-up.  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: 9th day of life: At the upper pole of the left kidney, a well defined, about 54 x 32 x 34 mm measuring tumor is identified, which displaces the kidney caudally. The tumor contains heterogenous, echogenic and hypoechoic areas. Doppler sonography shows no perfusion.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Normal renal parenchyma in a caudally displaced left kidney.




    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Follow-up after 19 days postpartum. At the left upper renal pole, a well defined tumor is again identified, which decreased in size (36 x 20 x 24 mm), containing echogenic and hypoechoic areas.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    connatal neuroblastoma, multicystic nephroblastoma  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    The sonographic findings are dependent of time and dependent on the severity of the hemorrhage:

    - Echogenic tumor in the first hours after hemorrhage (accordingly to a fresh coagulum)

    - Anechoic cystic process after 1 - 2 weeks (liquefied hematoma)

    - Decrease in size of the mass with increasing echogenicity and eventually calcification after 4 to 6 weeks.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Suprarenal hemorrhage, Adrenal hemorrhage, newborn, suprarenal, adrenal, hemorrhage, adrenal gland, adrenal hemorrhage, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    A Nordwig, S Jess, H Hetschko. Adrenal hemorrhage in a Newborn. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040105194544  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Renals
    or in the region: Abdomen
    or in the tissue/organ: Renals
    or with the etiology: circulatory
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Adrenal hemorrhage in a Newborn
    A Nordwig, S Jess, H Hetschko. Adrenal hemorrhage in a Newborn. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040105194544


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Adrenal hemorrhage in a Newborn
    Other cases by these authors:

    Search A. Nordwig in Medline A. Nordwig (4)   
    Search S. Jess in Medline S. Jess (1)   
    Search H. Hetschko in Medline H. Hetschko (3)   

    Adrenal hemorrhage in a Newborn  
     
    Adrenal hemorrhage in a Newborn
    A Nordwig, S Jess, H Hetschko. Adrenal hemorrhage in a Newborn. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040105194544


     

    Which diagnosis have other collegues guessed?


    • Connatal neuroblastoma
      Votes: 1 (7 %)


    • Multicystic nephroblastoma
      Votes: 0 (0 %)


    • Adrenal hemorrhage
      Votes: 12 (85 %)


    • Hemorrhagic renal cyst
      Votes: 1 (7 %)



        Total answers: 14

     
    Adrenal hemorrhage in a Newborn
    A Nordwig, S Jess, H Hetschko. Adrenal hemorrhage in a Newborn. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040105194544


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    How interesting was this case for you?
    (10 = most interesting || 1 = less interesting)
     
    Adrenal hemorrhage in a Newborn
    A Nordwig, S Jess, H Hetschko. Adrenal hemorrhage in a Newborn. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040105194544


     




    Discussion >> Write Comment <<



      There are no comments available regarding this case.





     Write a comment to this case (With * marked fields have to be filled)

    Type in this number: 8197

    Name: *

    E-Mail:

    Website:

    Subject: *

    Text: *




     
      Pediatric Radiology Discussion Get the Pediatric Radiology Discussion as RSS feed !
      To the discussion forum
      To the discussion forum

      Get the Pediatric Radiology Discussion as RSS feed !

      © 2001-2016   www.kinderradiologie-online.de
      In cooperation with © Radiolopolis - Radiology Search - Radiology Teacher - PubMed Reader - Annotate - Radiology Lectures & Tutorials - Radiology Boards Preparation - Pediatric Radiology Links - Pediatric Radiology Information - Emergency Radiology - Lung Cancers - USMLE Forums - Cancer Staging Information - Chest Radiology - Radiology Case Report Journal
      For suggestions and questions: information@kinderradiologie-online.de
      Add this site to your favorites (CTRL+D)