THE RARE ASSOCIATION OF RIGHT ADRENAL HEMORRHAGE AND RENAL-VEIN THROMBOSIS DIAGNOSED WITH DUPLEX ULTRASOUND

Neonatal adrenal haemorrhage with renal vein thrombosis, an almost exc lusively left-sided phenomenon, may occasionally be bilateral in the p resence of inferior vena cava thrombus but has only twice been reporte d as confined to the right side. These cases required a combination of ultrasound (USS), excretion urography, cystoscopy with retrograde pye lography, radioisotopes, and CT to diagnose this rare right-sided comb ination. We report a case of right adrenal haemorrhage causing right r enal vein thrombosis accurately diagnosed using only duplex USS and ra dioisotopes. The potential complications of renal vein thrombosis and hypertension associated with adrenal haemorrhage requires accurate dia gnosis and this paper emphasises the value of duplex USS.