Vollersen E, Hof M, Gembruch U
Department of Obstetrics and Gynecology, Medical University of Lübeck, Germany.
Fetal Diagn Ther. 1996 Jul-Aug;11(4):286-91. doi: 10.1159/000264316.
In newborn the finding of adrenal gland hemorrhage is not uncommon. Only few cases of prenatal diagnosis of fetal adrenal bleeding by sonography have been reported.
In a 28-year-old nulliparous pregnant woman, routine sonography performed in 35 + 2 weeks of gestational age showed a cystic mass on the upper pole of the right kidney of a male fetus with normal biophysical profile and Doppler flow indices. Sonographic examination demonstrated a spontaneous remission within 3 weeks after uncomplicated vaginal delivery.
In the management of adrenal gland hemorrhage of the fetus or newborn, control of remission by sonography is a sufficient tool for differentiation against other tumors and is helpful in preventing unintended surgical removal of the adrenal gland.
新生儿肾上腺出血并不罕见。仅有少数胎儿肾上腺出血产前超声诊断的病例报道。
一名28岁未产妇，孕35 + 2周时行常规超声检查，发现一男性胎儿右肾上极有一囊性肿物，生物物理评分及多普勒血流指数正常。超声检查显示在无并发症的阴道分娩后3周内自发缓解。
在胎儿或新生儿肾上腺出血的处理中，超声监测缓解情况是鉴别其他肿瘤的充分手段，有助于防止肾上腺意外手术切除。
