A NEWBORN infant was presented recently with massive intra-abdominal hemorrhage. At abdominal exploration, the source of the bleeding was found to be the right adrenal gland. A review of the hospital records revealed only one similar case in the last 10 years. This entity is not formally discussed in the standard textbooks of pediatric surgery, and a review of the literature revealed only 10 previous survivals following massive adrenal hemorrhage in the newborn.' 7 There are, however, many reported cases of adrenal hemorrhage in the newborn not presenting as an acute problem or massive hemorrhage.13 Our second case is of this nature. With these factors in mind, it was felt worthwhile to add these 2 cases to the literature and to review the topic of massive adrenal hemorrhage in the newborn.
Report of Cases
This male infant, born on Sept. 2, 1960, was the product of a
Siegel BS, Shedd DP, Selzer R, Mark JBD. Adrenal Hemorrhage in the Newborn. JAMA. 1961;177(4):263-265. doi:10.1001/jama.1961.73040300016012b