Calcified neonatal adrenal hemorrhage: diagnostic and therapeutic considerations

Abstract

We present the case of a premature infant in whom adrenal calcification was present at birth and postulate an etiology of in utero adrenal hemorrhage. The subject of neonatal adrenal hemorrhage is reviewed with respect to a reassessment of diagnostic and therapeutic considerations. Ultrasonography and intravenous urography confirm the diagnosis and differentiate other retroperitoneal lesions. Adrenal hemorrhage is most often a self-limited process, and medical management results in uneventful recovery of almost all patients.