Adrenal hemorrhage occurs most frequently in the newborn, but it has been also well documented in older children and adults. There are several reasons in etiology and clinical symptoms can vary widely depending on the residual adrenal function. In this case; despite bilateral massive adrenal hemorrhage, no etiologic factor had been found and adrenal insufficiency was not present. To our knowledge, our patient is a spontaneous idiopathic bilateral massive adrenal hemorrhage case without adrenal insufficiency which is the first one reported in a pediatric patient in literature.
Spontaneous idiopathic bilateral adrenal hemorrhage, children, adrenal insufficiency