A 3x3cm sized hypo-anechoic lesion with echogenic solid component within was noted in the Lt.suprarenal area. Rest of abdomen was normal. Pt was called for USG after 1wk, but lost follow-up

Provisional Diagnosis – Adrenal hemorrhage
Whereas tumors distort adrenal shape, the normal triangular configuration of the gland is usually preserved in cortical hemorrhage.

It is frequently discovered as an incidental finding at US performed for other reasons.

The pathogenesis is unclear, but such hemorrhage has been associated with birth trauma (especially in infants large for their gestational age, such as those born of diabetic mothers), overwhelming septicemia, and hypoxia.

Idiopathic neonatal adrenal hemorrhage is most often asymptomatic but may manifest as a unilateral flank mass, hypovolemic shock, anemia, or jaundice.


DDs of neonatal adrenal lesions also include
1.Neuroblastoma
2.Congenital Adrenal Hyperplasia
3.Adrenal cortical tumors
4.Storage diseases