IJMABHR International Journal of Medical and All Body Health ResearchIJMABHR 2582-8940 Anfo Publication House 158 Topic-Adrenal Crisis: A Rare presentation of B/L Adrenal haemorrhage KumarAmit VJain ASingh PSingh NNF Fellowship, Department of Neonatal ICU, Fortis Hospital, Shalimar Bagh, North Delhi, India 2023 4 1 11 13 28122022 14012023 CC BY-NC-SA 4.0

Background: B/L Neonatal adrenal hemorrhage and B/L adrenal cystis a relatively uncommon condition (0.2–0.55%) [1, 2]. There are many risk factors. Birth asphyxia, sepsis, coagulation disorders, traumatic delivery, and perinatal injuries. Right adrenal gland is more frequently involved (70%) than left side. Only in 10% of cases bilateral adrenal glands are involved and bilateral involvement can lead to adrenal insufficiency. Case presentation: A case of bilateral neonatal adrenal hemorrhage with bilateral adrenal cyst with adrenal insufficiency. Conclusions: Adrenal hemorrhage is noticed most often after normal delivery. Symptoms are presented in rare situation. Most common being decreased activity, feeding and dyselectrolemia. Sometimes jaundice is early presentation.  

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