The baby was discharged after staying for 11 days in hospital. These findings were suggestive of bilateral adrenal cysts, probably hemorrhagic in nature. Repeat ultrasound abdomen done at 4 months of age showed complete resolution of the adrenal cyst. The child has been growing normally on follow up. There is a paucity of publications of adrenal cysts in newborns.
Adrenal cysts are usually asymptomatic and many are discovered at autospy.
Symptoms, if present, are related to size and position of the lesion and can include pain, gastrointestinal disturbances, or the finding of a palpable mass. In our case the probable cause of hypoglyceymia was adrenal insufficiency, though we could not confirm it. These are usually large and uniloculated. The walls are composed of dense fibrous connective tissue with islands of adrenal cortical tissue incorporated. Pseudocysts may occur as a result of hemorrhage within normal adrenal tissue or within a tumor.