Year: 1959
Type: article
Study design: Case Report
Abstract: Intra-abdominal haemorrhage in the newborn is a diagnostic and therapeutic challenge; the site of the haemorrhage is commonly the liver or adrenal, rarely the other organs.(Lundquist, 1930;Potter, 1940;Henderson, 1941).If the haemorrhage is profuse it may lead to rupture of the capsule of the organ and intraperitoneal haemorrhage.In the case of adrenal haemorrhage in the newborn most authors have concentrated on post-mortem findings, many of the infants being stillborn.The first reported case to be successfully treated was that of Corcoran and Strauss (1924).Since then eight other surviving infants in whom adrenal haemor- rhage was diagnosed have been described and these cases are tabulated (Table 1).The following case report describes an infant suffering from haemorrhage into the adrenal with rupture of the capsule and intraperitoneal extension of the haemorrhage.From a review of the literature this would appear to be the first newborn infant to survive this complication.Twenty-five similar cases which ended fatally are tabulated for comparison (Table 2).Case Report The mother, weighing 18 st.10 lb., was admitted to the Birmingham Maternity Hospital at the twenty-seventh vteek of her eleventh pregnancy becaulse of hypertension.Her blood was Group 0 Rhesus negative and contained blocking antibodies.Two previous infants had haemolytic anaemia due to Rhesus incompatibility.The father was heterozygous for the Rhesus factor.The mother was in hospital a month, her blood pressure being 160/90, she was then discharged and re-admitted at the thirtyfourth week.Labour was induced surgically by rupture of the membranes at the thirty-seventh week, the indications being hypertension, oedema and the previous history of Rhesus incompatibility.The liquor was clear.
Source: Archives of Disease in Childhood
Authors: E. E. Hill, J. A. Williams
Institution: Birmingham Children's Hospital
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2058869975