Abstract
We report a case of neuroblastoma diagnosed after adrenal haemorrhage following a
minor trauma in a thirteen-month-old boy. Minor trauma is not commonly described as
a cause of AH in the literature. Therefore when no accepted cause for AH can be found
in a young child below the age of 5 years, it is important to look for a neuroblastoma
and discuss the necessity of surgical exploration.
Résumé
Nous rapportons l'observation d'un neuroblastome diagnostiqué lors du bilan d'un hématome
surrénalien découvert après un traumatisme bénin, chez un enfant de 13 mois. Le traumatisme
bénin n'est pas une cause d'HS décrite dans la littérature. Ainsi, lorsqu'aucune étiologie
reconnue n'est retrouvée chez un enfant de moins de 5 ans présentant un HS, il est
indispensable de réaliser un bilan à la recherche d'un neuroblastome et de discuter
l'indication d'une exploration chirurgicale.
Resumen
Presentamos un caso de neuroblastoma diagnosticado por hemorragia suprarrenal tras
trauma mínimo en un niño de trece meses. El trauma menor no se considera por lo general
como causa de hemorragia suprarrenal en la literatura. Por lo tanto cuando no se encuentra
causa en un niño de menos de 5 años es esencial buscar un neuroblastoma y discutir
la necesidad de una exploración quirúrgica.
Zusammenfassung
Es wird über ein Neuroblastom bei einem 13 Monate alten Knaben berichtet, bei dem
es nach einem geringen Trauma zu einer Nebennierenblutung gekommen war. Kleinere Traumata
führen im Allgemeinen nicht zu einer Nebennierenblutung. Man sollte daher, wenn bei
einem Kind unter 5 Jahren keine Ursache für eine Nebennierenblutung gefunden werden
kann, auch an ein Neuroblastom denken.
Key words
Neuroblastoma - adrenal haemorrhage - child
Mots-clés
Neuroblastome - hématome surrénalien - enfant
Palabras clave
Neuroblastoma - hemorragia suprarrenal - niño
Schlüsselwörter
Neuroblastom - Nebennierenblutung - Trauma
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C. Normand
Unité d'Oncologie Hématologie Pédiatrique
Hôpital Jeanne de Flandre
2 avenue Oscar Lambret
59037 Lille Cedex
France
Email: charlinenormand@voila.fr
