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February 23, 1924


JAMA. 1924;82(8):626-628. doi:10.1001/jama.1924.02650340036013

Medical literature contains the reports of about 100 cases of extensive suprarenal hemorrhage in the new-born, but no record has been found of another case in which operation has been performed, with recovery. Possibly this is because the course of the disease is too rapid to allow the development of symptoms referable to the gland itself. Clinically, the condition resembles a progressing internal hemorrhage, though in certain cases there are signs of pressure on adjacent organs. This was true in the case reported here, in which the compression signs were so definite as to constitute a typical picture of hemorrhage in, or about, the left suprarenal capsule.

Following the publication of Mattei's 1 statistics of necropsies on fetuses and the new-born, suprarenal hemorrhage was no longer considered an uncommon disease. In more recent years, other investigators have shown that microscopically demonstrable hemorrhages in the suprarenal gland are an almost constant