Scrotal hematoma as a sign of adrenal hemorrhage in newborns
Keywords:
Hemorrhage, Hematocele, Adrenal glands, Adrenal gland diseases, ScrotumAbstract
CONTEXT: Bluish discoloration and swelling of the scrotum in newborns can arise from a number of diseases, including torsion of the testes, orchitis, scrotal or testicular edema, hydrocele, inguinal hernia, meconium peritonitis, hematocele, testicular tumor and traumatic hematoma. Forty-two cases of scrotal abnormalities as signs of neonatal adrenal hemorrhage were found in the literature. CASE REPORT: We present a case of scrotal hematoma due to adrenal hemorrhage in a newborn. Conservative treatment with clinical follow-up was adopted, with complete resolution within 10 days. The possible differential diagnoses are reviewed and discussed.
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Avolio L, Fusillo M, Ferrari G, Chiara A, Bragheri R. Neonatal adrenal hemorrhage ma- nifesting as acute scrotum: timely diagnosis prevents unnecessary surgery. Urology. 2002;59(4):601.
Liu KW, Ku KW, Cheung KL, Chan YL. Acute scrotal swelling: a sign of neonatal adrenal haemorrhage. J Paediatr Child Health. 1994;30(4):368-9.
Miele V, Galluzzo M, Patti G, et al. Scrotal hematoma due to neonatal adrenal hemor- rhage: the value of ultrasonography in avoiding unnecessary surgery. Pediatr Radiol. 1997;27(8):672-4.
Putnam MH. Neonatal adrenal hemorrhage presenting as a right scrotal mass. JAMA. 1989;261(20):2958.
O’Neill JM, Hendry GM, MacKinlay GA. An unusual presentation of neonatal adrenal hemor- rhage. Eur J Ultrasound. 2003;16(3):261-4.
Bergami G, Malena S, Di Mario M, Fariello G. L’ecografia nel follow-up dell’emorragia surre- nalica in età neonatale. Presentazione di 14 casi [Echography in the follow-up of neonatal adrenal hemorrhage. The presentation of 14 cases]. Radiol Med. 1990;79(5):474-8.
Rumińska M, Welc-Dobies J, Lange M, et al. Wylew do nadnerczy u noworodków: czynniki ryzyka i postepowanie diagnostyczno-kliniczne [Adrenal haemorrhage in neonates: risk fac- tors and diagnostic and clinical procedure]. Med Wieku Rozwoj. 2008;12(1):457-62.
Duman N, Oren H, Gülcan H, et al. Scrotal hematoma due to neonatal adrenal hemorrhage. Pediatr Int. 2004;46(3):360-2.
Jiwane A, Soundappan SS. Neonatal testicular torsion or not? J Paediatr Child Health. 2009;45(10):620-1.
Noviello C, Cobellis G, Muzzi G, et al. Neonatal adrenal hemorrhage presenting as contrala- teral scrotal ematoma. Minerva Pediatr. 2007;59(2):157-9.
Adorisio O, Mattei R, Ciardini E, Centonze N, Noccioli B. Neonatal adrenal hemorrhage mimi- cking an acute scrotum. J Perinatol. 2007;27(2):130-2.
Ibáñez Godoy I, Mora Navarro D, Delgado Rioja MA, Losada Martínez A, Herrera Del Rey C. Hematoma escrotal unilateral [Unilateral scrotal hematoma]. An Pediatr (Barc). 2004;60(5):477-8.
Velaphi SC, Perlman JM. Neonatal adrenal hemorrhage: clinical and abdominal sonographic findings. Clin Pediatr (Phila). 2001;40(10):545-8.
Yeh ML, Chang CJ, Mu SC. Neonatal idiopathic scrotal hemorrhage: patient reports. Clin Pediatr (Phila). 2000;39(8):493-4.
Kirby CP, Davidson PM. Inguinoscrotal bruising: a sign of neonatal adrenal hemorrhage. Pediatr Emerg Care. 2000;16(3):179.
Miele V, Galluzzo M, Pedicelli C, Adami L, Calisti A. Emorragia surrenalica neonatale associa- ta a ematoma scrotale. Descrizione di un caso [Neonatal adrenal hemorrhage associated with a scrotal hematoma. A case report]. Radiol Med. 2000;99(4):299-301.
Anding R, Fastnacht-Urban E, Walz PH. “Akutes Skrotum” beim Neugeborenen. Nebennie- renblutung als Ursache [“Acute scrotum” in the neonate. Adrenal haemorrhage as cause]. Urologe A. 2000;39(1):48-51.
Huang CY, Lee YJ, Lee HC, Huang FY. Picture of the month. Neonatal adrenal hemorrhage. Arch Pediatr Adolesc Med. 2000;154(4):417-8.
Kreeftenberg HG Jr, Zeebregts CJ, Tamminga RY, de Langen ZJ, Zijlstra RJ. Scrotal hematoma, anemia, and jaundice as manifestations of adrenal neuroblastoma in a newborn. J Pediatr Surg. 1999;34(12):1856-7.
Yang WT, Ku KW, Metreweli C. Case report: neonatal adrenal haemorrhage presen- ting as an acute right scrotal swelling (haematoma)--value of ultrasound. Clin Radiol. 1995;50(2):127-9.
Thambi Dorai CR, Smith AJ, Dewan PA. Adrenal haemorrhage: presenting as acute scrotal swelling in a neonate. J Paediatr Child Health. 1994;30(1):72-3.
Giacoia GP, Cravens JD. Neonatal adrenal hemorrhage presenting as scrotal hematoma. J Urol. 1990;143(3):567-8.
