Congenital Adrenal Hyperplasia || Ultrasound || Pediatrics || Case 288

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Congenital Adrenal Hyperplasia || Ultrasound || Pediatrics || Case 288
Clinical Features:
A 6 hours old neonate was sent for assessing genitalia, adrenal glands and ovaries/testes.
Ultrasound Features:
Bilateral diffusely enlarged & wrinkled adrenal glands with maintained hypoechoic cortex & hyperechoic medulla similar to cerebral gyri and sulci forming ‘cerebriform pattern’.
Enlarged clitoris.
Partly fused labia majora with rugae.
No testicular structures.
Remember:
Single limb of adrenal gland ≥ 4 mm is considered enlarged.
Cerebriform appearance is caused by hypertrophied adrenal gland folding back upon itself.
Left adrenal gland is usually larger than right.
Potential space for right adrenal gland is smaller due to liver.
Normal adrenal glands do not exclude CAH.
Ref:
Atlas of Ultrasound Measurements, 2nd Ed, Goldberg, McGahan
Diagnostic Imaging: Pediatrics, 4th ed, Merrow, Aquino, Linscott, Koch
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[@ImagingStudy]

Thank you for watching. Hope you like it 👍 Check our another case video on 'Neonatal Brain Ultrasound || What We See in NICU': kzbin.info/www/bejne/hmWpiKt7hq98kNE

[@anilkumarpansotra1853]

Very very clear and informative video work .I thank you Sir

[@srinivasaraosirasapalli5104]

Excellent

[@ishaqshah3700]

Fantastic

[@rahaafzaly4149]

Very nice

[@zakiasultana4222]

Nice case

[@punamofficialchannel1349]

Sir where are you not making videos

[@CharactelyAmazing]

❤excellent work

[@jasminebari9961]

After long time nice to see u sir It's very nice case

[@ultrasoundcases7843]

thanks

[@LetsGetRadio93]

Welcome back sir❤️

[@reshmaakhter7617]

Thank you so much , What kind of transducer we should use?

[@dr.sharminzahurbithi5771]

Thank you so much

[@rahaafzaly4149]

You haven't been sent ultrasound videos for me for a long time.. please sharing for me videos

[@SunilSaini-zl5uw]

Nice case, Thnku 🙏

[@srinivasaraosirasapalli5104]

Nice

[@ma2020]

Great , thx

[@9006290789]

How and where CAH baby can get the treatment

[@ahamadshafi196]

My god.! What a rare case you have demonstrated... Congratulations... Thanks a lot... I think i couldn't find such findings ever.... Would you please tell us where do you practice...?💝💖

[@ImagingStudy]

Thank you. This patient was scanned at Feni, Bangladesh.

[@dr.sharminzahurbithi5771]

​@@ImagingStudy Assalamu Alaikum vaiya Amio feni te achi.kothai achen apni?

[@ImagingStudy]

@@dr.sharminzahurbithi5771 Dear Doctor, I work in Vital Research on thuday evening (unit 1) & friday wholeday (unit 2).

[@kr-ql3fz]

👏👍

[@اممحمدالقاسم-ذ5ت]

❤

[@اممحمدالقاسم-ذ5ت]

🍀🍀👍