Adrenal hemorrhage in a newborn

Abstract

Adrenal hemorrhage in the newborn occurs in about 0.2%; approximately 90% are unilateral. This condition is associated with perinatal trauma and neonatal asphyxia. Presentation of the case: Newborn who had a dystocic delivery due to the use of forceps, presenting moderate depression (Apgar 1-7). At 22 hours of life, abdominal pain was detected, and right-sided adrenal hemorrhage was diagnosed by ultrasound. Conservative management was provided and the patient was discharged without complications. Conclusions: The adrenal hemorrhage is a condition that can be difficult to detect; this report may help improve the process for its identification and treatment.