Scrotal hematoma as an infrequent sign of adrenal hemorrhage in newborns

Main Article Content

Verónica Alonso Arroyo
Harsha Nallurib

Abstract

Background: Scrotal hematoma is a rare manifestation of neonatal adrenal hemorrhage (0.2% of newborns). It is commonly associated with perinatal hypoxia, but it can be spontaneous. Blood from the adrenal bed can reach the scrotum through the inguinal canal, explaining this clinical sign. Clinical case: A 24-hour-old male born at term, with adequate weight for his gestational age, presented with bruising and swelling of the right hemiscrotum. Torsion was ruled out in a doppler sonography, identifying a structure compatible with a hematocele. An abdominal ultrasound showed signs of an evolving right adrenal hemorrhage. A conservative management and follow-up with imaging tests were decided. The evolution was favorable and remission was achieved. Conclusions: We highlight the importance of including this entity in the differential diagnosis of acute scrotum, since an ultrasound can prevent an unnecessary surgery in newborns.

Downloads

Download data is not yet available.

Article Details

How to Cite
Alonso Arroyo, V., & Nallurib, H. . (2020). Scrotal hematoma as an infrequent sign of adrenal hemorrhage in newborns. Pediatría, 53(2), 76–78. https://doi.org/10.14295/rp.v53i2.140
Section
Case report

References

Bergami G, Malena S, Di Mario M, Fariello G. Echography in the follow-up of neonatal adrenal hemorrhage. The presentation of 14 cases. Radiol Med 1990; 79 (5): 474-8. Italian.

Erbu Yarci, M.D., Sema Arayici, M.D., Fatma Nur Sari, M.D., Fuat Emre Canpolat, M.D., Nurdan Uras, M.D. and Ugur Dilmen, M.D. Adrenal hemorrhage presenting as a scrotal hematoma in the newborn. A case report. Arch Argent Pediatr 2015;113(3): e161-e163 / e161.

Duman N, Oren H, Gülcan H, Kumral A, et al. Scrotal hematoma due to neonatal adrenal hemorrhage. Pediatrics Int 2004;46(3):360-2.

Vittorio Miele, Michele Galluzzo, Gianluca Patti, Goglielmo Mazzoni, Alessandro Calisti, Mario Valenti. Scrotal hematoma due to neonatal adrenal hemorrhage: the value of ultrasonography in avoiding unnecessary surgery. Pediatr Radiol (1997) 27: 672–674.

Kawashima A, Sandler CM, Ernst RD, Takahashi N, Roubidoux MA, Goldman SM, Fishman EK, Dunnick NR. Radiographics. 1999 Jul-Aug;19(4):949-63. Imaging of nontraumatic hemorrhage of the adrenal gland.

Nicholas R Zessis1, Jennifer L Nicholas2 and Stephen I Stone1 Severe bilateral adrenal hemorrhages in a newborn complicated by persistent adrenal insufficiency. Endocrinology, diabetes & metabolism case reports. ID: 17-0165; February 2018. DOI: 10.1530/EDM-17-0165.

Koklu E, Kurtoglu S, Akcakus M & Koklu S. Adrenal haemorrhage with cholestasis and adrenal crisis in a newborn of a diabetic mother. Journal of Pediatric Endocrinology and Metabolism 2007 20 441–444. (https://doi.org/10.1515/jpem.2007.20.3.441).

Adorisio O, Mattei R, Ciardini E, CentonzeN, at al. Neonatal adrenal hemorrhage mimicking an acute scrotum. J Perinatol 2007;27(2):130-2.

O’Neill JM, Hendry GM, MacKinlay GA. An unusual presentation of neonatal adrenal hemorrhage. Eur J Ultrasound 2003;16: 261-4.

Rubio Aparicio P.M., Rosich del Cach B. Tumores de la cresta neural. Pediatr Integral 2016; XX (7): 434 – 446.

Al-Salem AH. Intra-uterine testicular torsion: early diagnosis and treatment. BJU Int 1999;83(9):1023-5.

Similar Articles

1 2 3 4 5 6 > >> 

You may also start an advanced similarity search for this article.