Scrotal hematoma as an infrequent sign of adrenal hemorrhage in newborns

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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.

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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

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