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Urinary and Genital Disorders (Children)

Adrenal hemorrhage

09/24/2007

Question:

My son, age 6 years, recently had a barium enema performed. On his preliminary film, the radiologist noted "an approximate 1cm 1cm mottled type calcific density in the supra renal region of the left kidney. There is no surrounding mass-effect, or bone destruction". On impression, it states "note is made of presumed calcification from prior left adrenal hemorrhage".

Can you explain what this means in layman terms and also explains any implications or follow up should be done?

Answer:

Sometimes at birth there is bleeding ("hemorrhage") in the adrenal gland, which is located just above the kidney. Usually there are no complications from the condition. Over time, as the collection of blood is broken down, sometimes it becomes calcified, and it has a typical appearance on an x-ray. There is no treatment and no medication is necessary.

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Response by:

Jack S Elder, MD, FACS, FAAP Jack S Elder, MD, FACS, FAAP
Clinical Professor of Urology
School of Medicine
Case Western Reserve University