一例因肾上腺出血、脓肿及假性醛固酮减少症导致新生儿呕吐的病例报告。

A Case Report of Neonatal Vomiting due to Adrenal Hemorrhage, Abscess and Pseudohypoaldosteronism.

作者信息

Assaf Raymen Rammy, Piroutek Mary Jane

机构信息

Harbor UCLA Medical Center, Department of Pediatric Emergency Medicine, Torrance, CA.

Children's Hospital Orange County, Division of Emergency Medicine, Orange, CA.

出版信息

J Educ Teach Emerg Med. 2021 Jul 15;6(3):V13-V17. doi: 10.21980/J8QQ0B. eCollection 2021 Jul.

DOI:10.21980/J8QQ0B

PMID:37465076

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10332690/

Abstract

UNLABELLED

Neonatal adrenal hemorrhage is a rare phenomenon which may occur in utero or in the intrapartum period. This case illustrates ultrasound and subsequent abdominal computed tomography (CT) imaging of a 30-day-old neonate who initially presented with acute vomiting and was found to have an abscess at the site of a previous right-sided adrenal hemorrhage. Ultrasound-guided fine needle aspiration of the abscess was ultimately the key diagnostic and therapeutic intervention, which detected infection. The discussion addresses the connection between key pathologic features of this case, while reviewing the acute management of clinical sequelae in the emergency department.

TOPICS

Neonatal vomiting, adrenal hemorrhage, retroperitoneal abscess, pseudohypoaldosteronism.

摘要

未标记

新生儿肾上腺出血是一种罕见现象，可发生于子宫内或分娩期。本病例展示了一名30日龄新生儿的超声及后续腹部计算机断层扫描（CT）影像，该患儿最初表现为急性呕吐，发现右侧肾上腺曾有出血处出现脓肿。脓肿的超声引导下细针穿刺抽吸最终成为关键的诊断和治疗干预措施，检测到了感染。讨论阐述了该病例关键病理特征之间的联系，同时回顾了急诊科对临床后遗症的紧急处理。