Abstract
Adrenal hemorrhage occurs most frequently in the newborn, but it has been also well documented in older children and adults. There are several reasons in etiology and clinical symptoms can vary widely depending on the residual adrenal function. In this case; despite bilateral massive adrenal hemorrhage, no etiologic factor had been found and adrenal insufficiency was not present. To our knowledge, our patient is a spontaneous idiopathic bilateral massive adrenal hemorrhage case without adrenal insufficiency which is the first one reported in a pediatric patient in literature.
References
- 1. Canton E. Apoplexy of the supra-renal capsule. Trans Pathol Soc Lond. 1863;14:257.
- 2. Xarli VP, Steele AA, Davis PJ, Buescher ES, Rios CN. Adrenal hemorrhage in the adult. Medicine (Baltimore). 1978;57:211-21.
- 3. Tan PL, Moore NR. Spontaneous idiopathic bilateral adrenal haemorrhage in adults. Clin Radiol. 2003;58:890-92.
- 4. Demirel N, Başı AY, Zenciroğlu A, Yıldız Y. Adrenal bleeding in neonates: report of 37 cases. Turk J Pediatr. 2011;53:43-7.
- 5. Simon DR, Palese MA. Clinical update on the management of adrenal hemorrhage. Curr Urol Rep. 2009;10:78-83.
Abstract
Adrenal kanama çoğunlukla yenidoğan döneminde görülse de daha büyük çocuklarda ve erişkinlerde de olabilmektedir. Etiyolojide birçok neden rol oynamakta ve klinik bulgu ve belirtiler çeşitlilik gösterebilmektedir. Sunulan vakada masif adrenal kanamaya rağmen adrena yetersizlik gözlenmemiş ve herhangi bir etiyolojik faktör bulunamamıştır. Bilgilerimize göre literatürdeki çocukluk çağında spontan idyopatik bilateral masif adrenal kanaması olan ancak adrenal yetersizlik gelişmeyen ilk vaka olma özelliğini taşımaktadır.
References
- 1. Canton E. Apoplexy of the supra-renal capsule. Trans Pathol Soc Lond. 1863;14:257.
- 2. Xarli VP, Steele AA, Davis PJ, Buescher ES, Rios CN. Adrenal hemorrhage in the adult. Medicine (Baltimore). 1978;57:211-21.
- 3. Tan PL, Moore NR. Spontaneous idiopathic bilateral adrenal haemorrhage in adults. Clin Radiol. 2003;58:890-92.
- 4. Demirel N, Başı AY, Zenciroğlu A, Yıldız Y. Adrenal bleeding in neonates: report of 37 cases. Turk J Pediatr. 2011;53:43-7.
- 5. Simon DR, Palese MA. Clinical update on the management of adrenal hemorrhage. Curr Urol Rep. 2009;10:78-83.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 31, 2017 |
| Published in Issue | Year 2017 Volume: 42 Issue: 1 |
