[Massive adrenal hemorrhage in a neonate due to neuroblastoma]

A newborn with symptoms of massive adrenal hemorrhage is presented. The cause was a unilateral neuroblastoma of the adrenal gland, bringing about severe anemia and hemorrhagic shock. The suspicion of a tumor of the adrenal gland was confirmed by infusion urography, ultrasound examination of the kidney, and the increased amount of vanillymandelic acid in the urine. Nephrectomy was performed on the fourth day of the newborn's life. The tumour was classified in the IV-S stage after Evans et al. Following the operation, neither cytostatics nor radiation was applied. The child is developing normally and the amount of vanillymandelic acid in the urine is within normal limits. The child is now in the 16th month of life.