DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.026

Pages: 2297-2300

Background: Neonatal adrenal hemorrhage is an uncommon condition, with an estimated incidence of 1.7–2.1 per 1,000 live births [1]. It is most often related to perinatal stress, hypoxia, or trauma. Clinical manifestations are variable and may include jaundice, anemia, or abdominal mass; however, many cases remain clinically silent and are detected incidentally [2,3]. Case Presentation: We describe a male neonate admitted to the neonatal intensive care unit (NICU) for respiratory distress. On the second day of life, he developed jaundice, and infectious screening was positive. On day 7, an abdominal ultrasound performed for suspected urinary tract infection revealed a right suprarenal mass. Further evaluation with CT and MRI confirmed the diagnosis of adrenal hemorrhage, with interval decrease in size on follow-up MRI. The infant remained clinically stable and was managed conservatively with serial ultrasound follow-up. Conclusion: This case emphasizes the role of multimodal imaging in the diagnosis and follow-up of neonatal adrenal hemorrhage. Recognition of typical imaging features, together with monitoring of lesion regression, prevents misdiagnosis and avoids unnecessary intervention.