Spontaneous idiopathic bilateral adrenal hemorrhage in a pediatric patient
Abstract
Adrenal hemorrhage occurs most frequently in the newborn, but it has been also well documented in older children and adults. There are several reasons in etiology and clinical symptoms can vary widely depending on the residual adrenal function. In this case; despite bilateral massive adrenal hemorrhage, no etiologic factor had been found and adrenal insufficiency was not present. To our knowledge, our patient is a spontaneous idiopathic bilateral massive adrenal hemorrhage case without adrenal insufficiency which is the first one reported in a pediatric patient in literature.
Keywords
Spontan idyopatik bilateral adrenal kanama; çocukluk çağı; adrenal yetmezlik
References
- 1. Canton E. Apoplexy of the supra-renal capsule. Trans Pathol Soc Lond. 1863;14:257.
- 2. Xarli VP, Steele AA, Davis PJ, Buescher ES, Rios CN. Adrenal hemorrhage in the adult. Medicine (Baltimore). 1978;57:211-21.
- 3. Tan PL, Moore NR. Spontaneous idiopathic bilateral adrenal haemorrhage in adults. Clin Radiol. 2003;58:890-92.
- 4. Demirel N, Başı AY, Zenciroğlu A, Yıldız Y. Adrenal bleeding in neonates: report of 37 cases. Turk J Pediatr. 2011;53:43-7.
- 5. Simon DR, Palese MA. Clinical update on the management of adrenal hemorrhage. Curr Urol Rep. 2009;10:78-83.
