Neonatal Adrenal Hemorrhage presenting as Prolonged Hyperbilirubinemia

Adrenal hemorrhage is quiet uncommon in neonates with reported incidence of 0.2%-0.55% [1]. In neonates, adrenal glands are large in size and have abundant vascular supply, so more prone to hemorrhage. Clinical manifestations may vary from relatively benign as anemia, flank mass, discoloration of scrotum, neonatal jaundice to life threatening addisonian crisis depending upon the extent of hemorrhage [1]. Incidences of hemorrhage are more after prolonged labor, birth trauma, birth asphyxia, large for dates babies, sepsis and coagulation disorders [2]. We are describing a case of adrenal hemorrhage who presented with prolonged jaundice.