Neonatal adrenal haemorrhage is a relatively uncommon condition (0.2-0.55%). Various risk factors have been reported in addition to birth asphyxia, such as sepsis, coagulation disorders, traumatic delivery and perinatal injuries. Adrenal haemorrhage usually affects the right adrenal gland (about 70% of cases) while it involves the bilateral adrenal gland only in 10% of cases. In most cases, the event is asymptomatic but in others it may be so devastating to determine death by bleeding or adrenal insufficiency. The paper presents a case of bilateral neonatal adrenal haemorrhage, without adrenal insufficiency, caused by dystocic delivery. It emphasizes the importance of keeping a non-interventional attitude and performing a sonographic follow-up to avoid early surgery.