Adrenal Hemorrhage as a Rare Cause of Neonatal Anemia Associated with Hydrocephalus Secondary
to Intraventricular Hemorrhage—A Case Report
458
show resolving adrenal hemorrhage. The pattern of echo-
genicity of an adrenal hematoma depends on its age. An
early-stage hematoma appears solid with diffuse or in-
homogeneous echogenicity. As liquefaction occurs, the
mass demonstrates mixed echogenicity with a central
hypoechoic region and eventually becomes completely
anechoic and cyst like. Calcification can appear as early
as 1 - 2 weeks after hemorrhage.
Presentation of adrenal hemorrhage with neonatal
anemia, flank mass has been reported by number of au-
thors [2,12]. But association between adrenal hemor-
rhage and hydrocephalus has not been reported in litera-
ture. Both conditions can be attributed with common
etiological factor of perinatal asphyxia.
4. Conclusion
In case of neonatal anaemia with perinatal asphyxia, ad-
renal haemorrhage should be suspected. Most of adrenal
haemorrhage resolves with conservative. Our patient was
having adrenal hemorrhage and hydrocephalus secondary
to intraventricular hemorrhage.
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