Pery M, Kaftori J K, Bar-Maor J A
J Clin Ultrasound. 1981 Sep;9(7):397-401. doi: 10.1002/jcu.1870090708.
Neonatal adrenal hemorrhage was diagnosed by ultrasound as an echo-free mass superior to downward displaced normal kidneys in three newborns. In one, the adrenal hemorrhage was bilateral. Fine needle aspiration was performed to confirm the diagnosis in one case. The babies were followed-up until adrenal calcifications were seen on ultrasound as linear echoes with posterior acoustic shadowing. These calcifications were confirmed by plain films. It is suggested that the diagnosis of neonatal adrenal hemorrhage should be based on ultrasound and on one initial intravenous urogram. Follow-up examinations should be restricted to ultrasound and plain films. In doubtful cases fine needle aspiration can be added for confirmation.
超声诊断出3例新生儿肾上腺出血，表现为无回声肿块，位于向下移位的正常肾脏上方。其中1例为双侧肾上腺出血。对1例进行了细针穿刺抽吸以确诊。对这些婴儿进行随访，直至超声显示肾上腺钙化呈伴有后方声影的线状回声。这些钙化经X线平片证实。建议新生儿肾上腺出血的诊断应基于超声和一次初始静脉肾盂造影。随访检查应限于超声和X线平片。在可疑病例中可增加细针穿刺抽吸以确诊。
