Idiopathic Scrotal Hematoma in Neonate: A Case Report and Review of the Literature

Abstract

Neonatal scrotal hematoma is a rare genitourinary emergency. Some cases have underlining aetiologic factors such as testicular torsion, adrenal hemorrhage, or birth trauma, and others are idiopathic. Previously, immediate scrotal exploration was considered imperative for diagnosis and treatment. With good imaging techniques, some patients are managed nonoperatively. We report a case of idiopathic scrotal hematoma in a neonate. He was managed conservatively with clinical and radiological follow-up. There was complete resolution of hematoma within two months, thus, avoiding unnecessary exploration.

Idiopathic scrotal hematoma in a neonate

“…Scrotal and abdominal ultrasonography can provide important information about the patient, and this would seem to be essential in order to avoid unnecessary invasive procedures. Spontaneous hemorrhage of the scrotum, as found in our patient, has also been described in the literature [ 12 ].…”

Adrenal hemorrhage in newborn: how, when and why- from case report to literature review

“…Clinical manifestations are variable or even absent. Sometimes, there are intense jaundice, ischemia, palpable abdominal mass and anemia [8, 9]. Adrenal insufficiency rarely occurs, but when it does it usually appears in the first week of life.…”

Scrotal hematoma following femoral artery puncture

“…The scrotal hematoma can happen following testicular torsion, adrenal hemorrhage, or birth trauma. 1 idiopathic scrotal hematoma was also reported. 1,2 To the best of our knowledge, our case was the first report regarding scrotal hematoma following puncture of the femoral artery.…”

“…1 idiopathic scrotal hematoma was also reported. 1,2 To the best of our knowledge, our case was the first report regarding scrotal hematoma following puncture of the femoral artery. The present case may indicate the importance of quick observation of the scrotum, when the puncture of femoral artery was performed.…”

“…The scrotal hematoma can happen following testicular torsion, adrenal hemorrhage, or birth trauma . Moreover, idiopathic scrotal hematoma was also reported .…”