The Turkish Journal of Pediatrics 2008 , Vol 50 , Num 5
A rare cause of hyperbilirubinemia in a newborn: bilateral adrenal hematoma
1Departments of Pediatrics, Dicle University Faculty of Medicine, Diyarbakır, Turkey
2Departments of Radiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
Katar S, Öztürkmen-Akay H, Devecioğlu C, Taşkesen M. A rare cause of hyperbilirubinemia in a newborn: bilateral adrenal hematoma. Turk J Pediatr 2008; 50: 485-487.

Hyperbilirubinemia is an important health problem in newborns. The most common causes are Rh and ABO incompatibility, hemolytic anemias, enzyme deficiencies, sepsis, hypothyroidism, pyloric stenosis and breast-milk jaundice. Adrenal hemorrhage is a rare cause of hyperbilirubinemia in the neonate. We present a six-day-old newborn with hyperbilirubinemia and suprarenal hematoma who was born at home without assistance of healthcare personnel. Adrenal hematoma should also be considered in the differential diagnosis of hyperbilirubinemia, particularly in newborns that experienced a difficult delivery. Keywords : hyperbilirubinemia, bilateral adrenal hematoma, ultrasound, newborn.

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