Bilateral adrenal hemorrhage in a large for gestational age neonate due to obstructed labour and birth asphyxia
Adrenal hemorrhage in a neonate due to obstructed labour
Abstract
Neonatal adrenal hemorrhage is a rare condition presenting as a unilateral or bilateral adrenal mass. Large size of the gland and increased vascularity makes it prone to hemorrhage. Ultrasound abdomen helps in confirmation of diagnosis and also differentiates it from other causes of abdominal masses. We present the case of a neonate who was large for gestational age delivered through SVD and developed adrenal hemorrhage secondary to obstructed labour and birth asphyxia. Diagnosis was confirmed by USG abdomen and he was discharged home successfully on steroids on 13th day of life. We conclude that conservative management is important and early surgical intervention should be avoided. Our aim is to emphasize radiological and clinical features associated with NAH for early diagnosis and management.
