Gonca SANDAL, Filiz SERDAROĞLU, Hasan ÇETİN

Term Bir Yenidoğanda Ciddi İndirekt Hiperbilirubinemi ile Seyreden Bilateral Adrenal Hemoraji

Adrenal hemoraji yenidoğan döneminde göreceli olarak ender klinik bir sorundur. Adrenal kanama için risk faktör- leri zor doğum, LGA bebek, asfiksi, sepsis ve hemorajik hastalıklardır. Klinik bulguları; abdominal kitle, kan kaybı nedeniyle anemi, hematom içindeki kırmızı kan hücreleri- nin yıkımı ve reabsorbsiyonu sonucu oluşan, nedeni açıkla- namayan sarılıktır. Biz burada uzun süre yoğun fototerapi tedavisi gereken ciddi hiperbilirubinemisi olan ve bilateral adrenal hemoraji saptanan term yenidoğan bir olguyu sun- maktayız

Anahtar Kelimeler:

Yenidoğan, indirekt hiperbilirubinemi, adrenal hemoraji

Bilateral Adrenal Hemorrhage Associated with Severe Unconjugated Hyperbilirubinemia in a Term Neonate

Adrenal hemorrhage in newborns is a relatively rare clini- cal problem. The risk factors for adrenal hemorrhage are LGA infants, asphyxia, sepsis, and hemorrhagic disease. Its clinical findings are abdominal mass, anemia due to blood loss, and unexplained jaundice. In this report, we present a term neonatal case with bilateral adrenal hemorrhage and severe unconjugated hyperbilirubinemia who required long-term intense phototherapy

Keywords:

Newborn, unconjugated hyperbilirubinemia, adrenal hemorrhage,

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