An Uncommon Cause of Neonatal Hypertension
Authors
Abstract:
Background: Adrenal hematoma is a very rare acquired cause of neonatal hypertension. In this study, we report a case of neonatal hypertension associated with adrenal hematoma. A male neonate was immediately transferred to our neonatal intensive care unit after delivery due to meconium aspiration. He needed to be on mechanical ventilation support. During his hospital stay, hospital records showed normal blood pressure. However, 15 days after discharge, he was diagnosed with hypertension and was admitted to our Nephrology Division. Except for irritability, physical examination was normal. Blood pressure was normal, while right renal agenesis, grade two dilatation in the collective system of the left kidney, a round heterogeneous cyst (measuring 46×28 mm), and adrenal hematoma with no blood flow in the left suprarenal region were detected by ultrasound. Renal scintigraphy showed right renal agenesis, prolonged retention of the injected material in the left kidney, and a mass on the left kidney. Antihypertensive therapy was initiated for the neonate and the adrenal hematoma was checked weekly. The mass gradually shrank and his blood pressure readings returned to normal for his age. Conclusion: Neonates with hypertension and history of birth complications should be evaluated for adrenal hematoma to determine the reasons for hypertension.
similar resources
an uncommon cause of neonatal hypertension
background: adrenal hematoma is a very rare acquired cause of neonatal hypertension. in this study, we report a case of neonatal hypertension associated with adrenal hematoma. a male neonate was immediately transferred to our neonatal intensive care unit after delivery due to meconium aspiration. he needed to be on mechanical ventilation support. during his hospital stay, hospital records showe...
full textAn uncommon cause of portal hypertension.
To cite: Cunha FA, Silva AL, Jacob MG. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015212665 DESCRIPTION A 68-year-old woman with no history of hepatic disease or risk factors, with a 2-month duration of an increasing waist circumference and watery diarrhoea, as well as peripheral oedema, presented to the emergency department. The initial diagnostic work up r...
full textan uncommon cause of splenomegaly
a 55-year-old man presented with pain in the left flank for the last 8 months with history of significant weight loss. the pain was relieved on assuming a knee-chest position. on clinical examination the patient was afebrile with mild tenderness in the left hypochondrium. there was no icterus or lymphadenopathy. the spleen was palpable 6 cm below the costal margin and was firm and non-tender. t...
full textCongenital Hepatic Fibrosis: An Uncommon Cause of Chronic Renal Failure
Congenital Hepatic Fibrosis (CHF) is a rare disease that affects both the liver and kidneys. Congenital hepatic fibrosis (CHF) is an autosomal recessive inherited malformation defined pathologically by a variable degree of periportal fibrosis and irregularly shaped proliferating bile ducts. Affected individuals also have impaired renal function, usually caused, in children and teenagers, by an...
full textAscaridial Volvulus: An Uncommon Cause of Ileal Perforation
Ascariasis is a common worm infestation in developing and under-developed countries. It is caused by the ingestion of food contaminated with Ascaris eggs from faeces and is more common in places with poor sanitation. Almost 25% of the world population is infested by Ascaris lumbricoides. Although ascariasis is a chronic disease, it can present as acute abdomen rarely. The wandering nature of As...
full textMy Resources
Journal title
volume 7 issue 1
pages 67- 70
publication date 2016-03-01
By following a journal you will be notified via email when a new issue of this journal is published.
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023