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Archives de pédiatrie
Volume 19, n° 4
pages 429-431 (avril 2012)
Doi : 10.1016/j.arcped.2012.01.021
Received : 12 May 2011 ;  accepted : 22 January 2012
Hémorragie surrénalienne révélée par un ictère néonatal : à propos d’un cas
Neonatal adrenal hemorrhage revealed by jaundice: A case report
 

A. Oulmaati , S. Hays, N. Mory-Thomas, P. Bretones, M. Bensaid, I. Jordan, M. Bonfils, I. Godbert, J.-C. Picaud
Service de néonatologie et réanimation néonatale, hôpital La-Croix-Rousse, 103, Grande-Rue-de-la-Croix-Rousse, 69000 Lyon, France 

Auteur correspondant.
Résumé

Nous rapportons un cas d’hémorragie surrénalienne néonatale qui s’était présentée comme un ictère néonatal persistant. Cette hémorragie des surrénales était survenue après un accouchement dystocique. Les manifestations cliniques de l’hémorragie surrénalienne varient selon l’importance de l’hémorragie et l’étendue de l’atteinte du cortex surrénalien. Cette observation souligne l’intérêt de l’échographie abdominale devant tout ictère persistant dans un contexte évocateur et permet d’évoquer d’autres causes d’ictère néonatal prolongé ainsi que leur prise en charge.

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Summary

The clinical presentation of adrenal hemorrhage varies, depending on the extent of hemorrhage as well as the amount of adrenal cortex involved by the hemorrhage. We report here a case of neonatal adrenal hemorrhage revealed by late onset of neonatal jaundice. This adrenal hemorrhage most probably resulted from shoulder dystocia. The aim of this work was to focus on the fact that jaundice can be caused by adrenal hemorrhage and to emphasize the crucial importance of abdominal ultrasound in cases of persistent jaundice.

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