Neonatal adrenal haemorrhage presenting as scrotal haematoma

Kang, Sok‐Leng; Mukherjee, Samudra; Sashikumar, Palaniappan; Sharief, Nawfal

doi:10.1136/adc.2010.200949

Cited by 4 publications

(1 citation statement)

References 3 publications

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“…To our knowledge, this is the first case of idiopathic scrotal haematoma associated with cryptorchidism. Association of scrotal haematoma with adrenal haemorrhage is reported in the literature [11,12] but it was not present in our case. In the recent literature, only a study by Diamond et al reported five cases of scrotal haematoma mimicking testicular torsion [13]; four of five patients had risk factors for developing a scrotal haematoma.…”

Section: Discussioncontrasting

confidence: 58%

Idiopathic scrotal hematoma simulating a testicular torsion, in association with cryptorchidism: US findings

et al. 2014

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SummaryBackgroundAn acute scrotum concerns endoscrotal organs (testicles, spermatic cord, tunica vaginalis) and is characterized by pain, swelling and hyperemia of the hemi-scrotum. It represents one of the most common surgical emergencies in children often caused by testicular torsion; the diagnosis is mostly clinical but must be supported by ultrasonographic examination of the scrotal region in association with a colour Doppler study of the spermatic cord vessels and glandular parenchyma. An idiopathic scrotal hematoma is a very rare condition that can simulate it.Case ReportA 3-day-old full-term baby, otherwise in good health, showed swelling and pain of the left inguinal-scrotal region. A testicular torsion was suspected, so the baby underwent an ultrasound examination of the testis and spermatic cord that showed a left scrotal hematoma with superior displacement of the didymus; the right testicle was located in the internal inguinal canal. Surgical intervention confirmed the sonographic diagnosis of left testicular hematoma and of the right cryptorchidism.ConclusionsAlthough testicular torsion is the most frequent cause of acute scrotum, the possibility of a persistent idiopathic scrotal haematoma and/or haematoma secondary to a trauma of the inguino-scrotal region, must be always taken into account. US diagnosis can avoid unnecessary emergency surgical treatment, required in case of testicular torsion.

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Section: Discussioncontrasting

confidence: 58%

Idiopathic scrotal hematoma simulating a testicular torsion, in association with cryptorchidism: US findings

et al. 2014

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Neonatal Adrenal Hemorrhage Associated with Scrotal Hematoma: An Unusual Case Report and Literature Review

Lai¹,

Chen²,

Chu³

et al. 2012

Pediatrics & Neonatology

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Neonatal adrenal hemorrhage (NAH) is rare and is found in only 0.2% of newborns. Scrotal hematoma (SH) in newborns is also rare. NAH associated with SH is extremely rare, with only 29 cases reported in the literature. Herein, we report a baby boy who presented with SH; after ultrasonography examinations, the diagnosis of NAH associated with SH was made. He received conservative treatment only. From our experience and that of others, appropriate integration of clinical information, physical examination and the results of abdominal and scrotal ultrasonography can achieve the accurate diagnosis of NAH associated with SH. This association allows conservative treatment that avoids unnecessary surgical exploration.

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Ovary and Testicle and Everything in Between: Lesions and Imaging in the Newborn

Otero

Rubio

Blask

2015

Seminars in Ultrasound, CT and MRI

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Neonatal adrenal haemorrhage presenting as scrotal haematoma

Cited by 4 publications

References 3 publications

Idiopathic scrotal hematoma simulating a testicular torsion, in association with cryptorchidism: US findings

Idiopathic scrotal hematoma simulating a testicular torsion, in association with cryptorchidism: US findings

Neonatal Adrenal Hemorrhage Associated with Scrotal Hematoma: An Unusual Case Report and Literature Review

Ovary and Testicle and Everything in Between: Lesions and Imaging in the Newborn

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