In recent decades, diagnosis of neonatal malformations has shown growing success thanks to advances in ultrasound diagnostics. Intra-abdominal cystic formation can be successfully diagnosed ...prenatally, most often in the third trimester, mainly as isolated unilateral lesions in otherwise healthy fetus. With the existence of intra-abdominal cyst in neonate, it is necessary to exclude urinary tract anomalies and abnormalities of the heart and the spine. We present diagnostic procedure and perinatal outcome of a female newborn with enteric duplication cyst.
Prijelomi lubanjskih kostiju i kefalhematom u novorođenčadi ubrajaju se u skupinu porođajnih ozljeda glave i vrata, na koje otpada 11,4 – 15% od ukupnog broja porođajnih ozljeda. Prikazali smo ...prijelom parijetalnih kostiju u novorođenčeta, udružen sa zatiljnim kefalhematomom. Novorođenče je imalo prolazne i blage neurološke simptome: povraćanje i promjenu mišićnog tonusa. Kliničkim pregledom utvrđen je pozitivan »ping-pong« fenomen, kraniogramom je potvrđen prijelom parijetalnih kostiju i prikazan kefalhematom, a ultrazvučna (UZ) pretraga mozga pokazala je peri-interventrikularno krvarenje II. stupnja. Nakon nestanka kliničke simptomatologije u novorođenčeta zamijećeno je potpuno koštano cijeljenje krajem drugog tjedna života, uz uredan kasniji perinatalni tijek. Uspješnom oporavku od ozljede pridonosi sposobnost brzoga koštanog modeliranja i remodeliranja te plastičnost mozga. Važno je daljnje interdisciplinarno praćenje takvog djeteta.
Skull fractures and cephalhematoma in newborns belong to the group of birth injuries of the head and neck, accounting for 11.4 to 15% of the total number of birth injuries. We presented a fracture of ...the parietal bones in a newborn, associated with parietal cephalhematoma. The newborn had transient and mild neurological symptoms: vomiting and changes in muscle tone. Clinical examination confirmed a positive "ping-pong" phenomen, craniogram confirmed the fracture of parietal bones and shown cephalhematoma, as well as ultrasound (US) examinations of the brain showed peri-interventricular bleeding grade II. After the disappearance of all clinical symptoms in a newborn, we observed total bone healing at the end of the second week of life, and good perinatal outcome. Successful recovery from injury contributes to the ability of rapid bone modeling and remodeling, and brain plasticity. Further interdisciplinary monitoring is very important.
Opisujemo kliničku sliku u muškog novorođenčeta s nedostatkom palca šake i hipoplastičnom podlakticom te s defektom interatrijskog septuma tipa sekundum (ASD II). Dijete nema drugih koštanih ...anomalija niti dismorfije lica. Morfologija mozga je uredna. Od srčanih abnormalnosti ima i otvoreni arterijski kanal, bez abnormalnosti u EKG zapisu. Nalaz kompletne krvne slike je uredan. U spektru nasljednih bolesti iz grupe »srce-šaka« klinička slika u našeg pacijenta uklapa se u Holt-Oramov sindrom (HOS). Uloga je neonatologa da u slučaju anomalija palca šake ili gornjih udova posumnja i na moguću srčanu grješku i da roditelje uputi na pravodobnu, interdisciplinarnu skrb za takvo dijete.
We describe clinical presentation in a male newborn baby who presented with thumb aplasia, forearm hypoplasia and secundum atrial septal defect (ASD II). The child has no other bone anomalies or ...facial dysmorphism. The ultrasound morphology of the brain is normal. He has patent ductus arteriosus, without abnormalities in the ECG record. Complete blood count (CBC) is normal. In the spectrum of hereditary diseases from the group "heart-hand", clinical presentation in our patient corresponds to Holt-Oram syndrome (HOS). The role of the neonatologist in case of anomalies of the thumb or upper limb, is to exclude possible heart failure and instruct parents about timely, interdisciplinary care for the child.
Polythelia, the presence of supernumerary nipples, is a common anomaly usually limited to cosmetic concerns. However, the existence of accessory mammary tissue may indicate associated anomalies of ...the kidneys and the urinary tract or other systemic diseases. The association of these anomalies and systemic disease is often controversial, although some authors report their significance in neonates and infants. We report the association of accessory nipple and right-sided hydronephrosis in a female term newborn. Prenatal ultrasound monitoring did not indicate hydronephrosis and it was diagnosed after birth with an ultrasound examination of the newborn, which was due to a fever and suspected urinary infection. We consider that in symptomatic infants with accessory breast tissue, a thorough physical examination, urine analysis, and renal ultrasound should be done in order to exclude associated urinary tract abnormalities.
Krvarenje iz nadbubrežne žlijezde javlja se s učestalošću od 0,2 do 0,5% u perinatalnom periodu. Rijetko se zamjećuje prenatalno. Uglavnom se krvarenje potvrdi tijekom šire dijagnostičke obrade u ...novorođenčadi koja su vitalno ugrožena ili teško bolesna. Prikazujemo slučaj ženskoga donošenog novorođenčeta kod kojeg je u 32. tjednu trudnoće postavljena sumnja na cističnu intraabdominalnu tvorbu. Nakon rođenja učinjen je ultrazvučni (UZ) pregled abdomena i nađena nehomogena tvorba iznad gornjeg pola desnog bubrega. Magnetskom rezonancijom (MR) prikazana je ekspanzivna tvorba u loži desne nadbubrežne žlijezde, dimenzija 3,8 x 2,8 x 3,5 cm, koja odgovara krvarenju iz nadbubrežne žlijezde. Širokom diferencijalnodijagnostičkom obradom isključene su druge bolesti, posebno maligne. Dijete je od rođenja tijekom perinatalnog perioda bilo bez ikakvih kliničkih odstupanja. Redovito se UZ-om pratila rezolucija opisane tvorbe, do njezina potpunog nestanka u dobi od dva mjeseca života.
The incidence of adrenal hemorrhage in perinatal period is 0.2-0.5%. Prenatal diagnosis is rare. In most cases, hemorrhage is found during extensive diagnostic workup in a life-threatened or ...seriously sick newborn. We present a case of a female neonate born at term with suspected cystic intraabdominal mass already in the 32nd week of gestation. After delivery abdominal sonography was done and found an inhomogeneous formation above the upper pole of the right kidney. On magnetic resonance imaging (MR) this formation was described as an expansive lesion in the lodge of the right adrenal gland, measuring 3.8 x 2.8 x 3.5 cm, which corresponded to the bleeding from the adrenal gland. Extensive differential diagnostic evaluation excluded other diseases, especially malignant. From the birth during the perinatal period the child had no clinical manifestation. Regular ultrasound monitoring showed the resolution of the described formation, until its complete disappearance at the age of two months.
Adams–Oliver syndrome in a newborn infant Zakanj, Zora; Bedek, Darko; Kotrulja, Lena ...
International journal of dermatology,
February 2016, Letnik:
55, Številka:
2
Journal Article
Hypertension is a common clinical problem in the emergency units in children's population, but only 1% of children and adolescents have elevated blood pressure level on repeated measurements. ...Established hypertension is blood pressure above 95th centile regarding children's age, gender and body height. Diagnostic procedures are aimed at establishing blood pressure levels, identifying secondary causes of hypertension and evaluating the possible cardiovascular risk factors. Therapeutic intervention includes both lifestyle changes and pharmacologic therapy. The goal of the therapy is to reduce blood pressure to levels lower than the 90th percentile for both systolic and diastolic blood pressure for children of similar age, gender and height. By reducing blood pressure to normal range, long-term cardiovascular morbidity and mortality may be reduced. The acceptance of childhood hypertension guidelines must be an interdisciplinary process, which includes regional experts to draw up recommendations specifically directed toward the management of patients at the local level.
