- Adrenal Hemorrhage in a Newborn -An Autopsy Case Report-
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Kyu Sun Rhee, Je G. Chi
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Korean J Cytopathol. 1968;2(1):53-57.
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 Abstract
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- A case of bilateral adrenal hemorrhage in a three-day-old boy who was born after a labor period of more than 19 hours to a pre-eclamptic woman has been presented. The body weight of the baby at autopsy was 4,720 grams.
The newborn developed a high fever, convulsion and dyspnea throughout the entire disease course.
Autopsy revealed a massive hemorrhage in the adrenal glands especially in the right, replacing the majority of the adrenal tissue proper. There also was a subdural hematoma in the right parietal region.
Birth trauma was assumed to be the most important contributing factor of the hemorrhage of the involved case. And it was emphasized that when the signs and symptoms of adrenal insufficiency appear in the infants born with difficulties, the adrenal hemorrhage should be considered first as the underlying cause.
- Pulmonary Hypoplasia Associated with Congenital Diaphragmatic Hernia
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Kyu Sun Rhee, Je G. Chi
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Korean J Cytopathol. 1967;1(1):43-47.
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Abstract
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- Two autopsy cases of pulmonary hypoplasia associated with congenital diaphragmatic hernia(Bochdalek foramen) have been presented.
The first case is a 12-hour-old new born infant, who was admitted for cyanosis and dyspnea. At operation, the left hemithorax was filled with loops of small intestine which had been herniated through a large defect in the left posterolateral portion of the diaphragm. The defect was properly repaired. However, the patient expired soon after operation showing persistent respiratory difficulty. At autopsy, both lungs were hypoplastic especially in the left, and no evidence of expansion was noted under the microscope.
The second case is a 3-day-old newborn infant who was admitted for cyanosis and general weakness. Soon after admission the patient expired. At autopsy, left lung weighed only 5 gm. and consisted of a rather stolid dark gray mass attached to the hilum. The spleen and loops of small intestine were found in the left hemithorax which had been herniated through a round defect in the left posterolateral portion of diaphragm.
Pathogenesis of pulmonary hypoplasia associated with diaphragmatic hernia of congenital origin is discussed and the related papers are briefly reviewed.
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