Adrenal gland hematoma presenting as an acute scrotum in a neonate

Kouamé, Y.G.S.; Moulot, Martial Olivier; Enache, T.; Konan, Jean Marie; Agbara, Kouame Soroboua; Ehua, M.; Thomas, Helen Audrey; N'goran, Koffi Eric; S, Roumanatou Bankolé

doi:10.1016/j.epsc.2021.102133

Cited by 2 publications

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“…Lai et al . reviewed 29 cases of NAH with SH reported until 2011, 4 since then 12 cases in the literature have been reported 4,8–17 . Of the 12 cases of NAH with SH, 8 out of 12 cases (66.7%) were presented as right AH with right SH, and surgical treatment was performed in two cases (16.7%) (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…reviewed 29 cases of NAH with SH reported until 2011, 4 since then 12 cases in the literature have been reported. 4 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 Of the 12 cases of NAH with SH, 8 out of 12 cases (66.7%) were presented as right AH with right SH, and surgical treatment was performed in two cases (16.7%) (Table 1 ). Although there is a growing number of reports of NAH with SH, the onset of SH on the opposite side of AH is less frequent.…”

Section: Discussionmentioning

confidence: 99%

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Neonatal adrenal hemorrhage presenting as an acute scrotum: A case report on the rare presentation of right adrenal hemorrhage and contralateral left scrotal hematoma

et al. 2022

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Introduction: Acute swelling and discoloration of the scrotum in a newborn is a rare condition and can have several causes such as testicular torsion, trauma, inguinal hernia, hydrocele, or adrenal hemorrhage. Case presentation: We report a neonate of adrenal hemorrhage presenting clinically as the acute scrotum. Definitive diagnosis was defined by ultrasonography and computed tomography scan, and the conservative management was successfully performed. Conclusion: Adrenal hemorrhage should be considered as one of the causes of acute scrotum in newborns. The abdominal ultrasonography, as well as the scrotal ultrasonography, should be performed routinely to achieve a definitive diagnosis to avoid unnecessary invasive procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Neonatal adrenal hemorrhage presenting as an acute scrotum: A case report on the rare presentation of right adrenal hemorrhage and contralateral left scrotal hematoma

et al. 2022

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Neonatal adrenal haemorrhage with contralateral scrotal haematoma and inguinal ecchymosis

Ng,

Lim,

Aizulkamal

et al. 2024

BMJ Case Rep

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Neonatal adrenal haemorrhage (NAH) is more frequently described in neonates due to their relatively larger size and increased vascularity. While most are asymptomatic, they can present with anaemia, jaundice, abdominal mass, scrotal haematoma or more severe complications such as shock and adrenal insufficiency. Scrotal haematoma seen with NAH may be mistaken for other more serious conditions causing acute scrotum. Prompt sonographic examination that includes the bilateral adrenal glands may help to detect NAH early and to avoid unnecessary interventions. Cases of NAH causing ipsilateral inguinal ecchymosis and scrotal haematoma have been reported, but contralateral haematomas are very rare. In this report, we present a unique case of a neonate with an antenatally acquired adrenal haematoma complicated with an acute peripartum rebleeding manifesting as a contralateral scrotal haematoma and inguinal ecchymosis. The NAH was treated conservatively and resolved on follow-up imaging.

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Adrenal gland hematoma presenting as an acute scrotum in a neonate

Cited by 2 publications

References 11 publications

Neonatal adrenal hemorrhage presenting as an acute scrotum: A case report on the rare presentation of right adrenal hemorrhage and contralateral left scrotal hematoma

Neonatal adrenal hemorrhage presenting as an acute scrotum: A case report on the rare presentation of right adrenal hemorrhage and contralateral left scrotal hematoma

Neonatal adrenal haemorrhage with contralateral scrotal haematoma and inguinal ecchymosis

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