Is routine abdominal ultrasonography necessary in macrosomic newborns with difficult delivery?

Abstract

Adrenal hemorrhage is a relatively uncommon clinical problem of the newborn period. Clinical features of adrenal hemorrhage are variable. An abdominal mass, anemia, unexplained/persistent jaundice, bluish discoloration of the scrotum may be the presenting sign. Here, we presented a macrosomic infant (4150 gr) whose left side adrenal hematoma associated with asphixia and early onset of hyperbilirubinemia. We concluded that the pediatricians should be considered abdominal US screening regard as internal hemorrage in macrosomic newborns who delivered with difficult labor and then seen pathologic jaundice.

Keywords::

• Adrenal hematoma
• newborn
• macrosomia
• difficult delivery
• abdominal ultrasonography

Declaration of Interest: The authors declare no conflict of interest and are solely responsible for the content of their paper.