Adrenal Hemorrhage as a Rare Cause of Neonatal Anemia Associated with Hydrocephalus Secondary to Intraventricular Hemorrhage—A Case Report

Krushnakumar Kesan, Rahul Kumar Gupta, Paras Kothari, Abhaya Gupta, Ritesh Ranjan, Kedar Mudkhedkar, Parag Karkera

MCh Pediatric Surgery, Department of Pediatric Surgery, LTMMC & LTMGH Sion, Mumbai, India.

DOI: 10.4236/ijcm.2013.410081                

Abstract

Neonatal adrenal hemorrhage is frequently associated with birth trauma, perinatal asphyxia, intrauterine infection, coagulation defects and thromboembolism. It has varied clinical presentation depending on degree of hemorrhage and amount of adrenal cortex compromised by hemorrhage. The most common clinical presentations are persistent jaundice and flank mass. We report a case of left sided adrenal hemorrhage in a breech delivered male neonate with perinatal asphyxia presented with anemia and fever. On further evaluation, he was also having moderate communicating hydrocephalus secondary to intraventricular hemorrhage. The adrenal hemorrhage was managed conservatively. Subsequent abdominal ultrasound showed resolving adrenal hemorrhage. Right ventriculoperitoneal shunt was done for hydrocephalus. Postoperative course was uneventful. The patient is asymptomatic at follow-up.

Keywords

Adrenal Hemorrhage; Neonatal Anemia; Hydrocephalus; Intraventricular Hemorrhage

Conflicts of Interest

The authors declare no conflicts of interest.

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