Perinatal/Neonatal Case Presentation
Journal of Perinatology (2005) 25, 803–804. doi:10.1038/sj.jp.7211394
Management of Severe Hyperbilirubinemia in the Newborn: Adrenal Hematoma Revisited
This study was not sponsored.
Ayla Gunlemez MD1, Ahmet Karadag MD1, Halil Degirmencioglu MD2, Nurdan Uras MD1 and Sadi Turkay MD2
- 1Department of Pediatrics and Division of Neonatology (A.G., A.K., N.U.), Fatih University Faculty of Medicine, Ankara, Turkey
- 2Department of Pediatrics (H.D., S.D.), Fatih University Faculty of Medicine, Ankara, Turkey
Correspondence: Ahmet Karadag, MD, Department of Pediatrics, Fatih University Faculty of Medicine, Hosdere Caddesi No. 145, Y. Ayranci, Cankaya 06540, Ankara, Turkey
Abstract
A 4-day-old male infant presented with complaints of jaundice on the third day of life. He was full-term and appropriate for gestational age and born to unrelated parents. All laboratory investigation tests were normal except total serum bilirubin of 27.4 mg/dl with a direct bilirubin 0.29 mg/dl. Abdominal and cranial ultrasonography (US) was performed on sixth day of life because of severe hyperbilirubinemia. Abdominal US revealed adrenal hematoma. Enclosed hematomas may cause significant unconjugated hyperbilirubinemia in absence of other high-risk conditions.
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