Congenital adrenal hyperplasia

Case contributed by Yusra Sheikh

Presentation

Projectile vomiting ? pyloric stenosis.

Patient Data

Age: Neonate
ultrasound

The pylorus was normal in size and configuration. Both adrenal glands are elongated with a cerebriform pattern, most suggestive of congenital adrenal hyperplasia. The rest of abdominal ultrasound was normal - images not shown.

Case Discussion

This demonstrates the importance of a general abdominal ultrasound examination particularly in infants and younger children. It is not infrequently that we demonstrate other unsuspected aetilogies for the child's symptoms or presentation.

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