Neonatal adrenal hemorrhage mimicking an acute scrotum

Adorisio, Ottavio; Mattei, Ricardo; Ciardini, Enrico; Centonze, N; Noccioli, Bruno

doi:10.1038/sj.jp.7211638

Cited by 32 publications

(28 citation statements)

References 20 publications

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“…También se debe tener en cuenta la torsión aguda y subaguda del cordón espermático. 9 Varios autores recomiendan considerar el cuadro escrotal agudo como torsión testicular para mejorar el salvataje testicular mediante una exploración quirúrgica rápida. 10,11 Algunos de los casos notificados de hemorragia suprarrenal escrotal y de hematoma escrotal fueron sometidos a cirugías innecesarias.…”

Section: Discussionunclassified

Hemorragia suprarrenal que se manifiesta como hematoma escrotal en el recién nacido. A propósito de un caso

2015

arch Argent Pediat

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RESUMENLa hemorragia suprarrenal neonatal es poco frecuente. Se presenta en el 0,2% de los recién nacidos. El 10% de los casos son bilaterales. Puede estar asociada a un traumatismo al nacimiento, peso alto al nacer o un curso neonatal complicado por hipoxia, asfixia, hipotensión o coagulopatía. El hematoma escrotal es una manifestación extremadamente rara de la hemorragia suprarrenal neonatal. La mayoría de los pacientes presentan tumefacción escrotal con coloración azulada. En los recién nacidos, la tumefacción escrotal, con o sin coloración azulada, puede deberse a diferentes causas. Comunicamos un caso inusual de hemorragia suprarrenal neonatal secundaria a asfixia perinatal, que se manifestó con un hematoma escrotal. El diagnóstico de hemorragia suprarrenal neonatal y hematoma escrotal fue ecográfico; el tratamiento conservador evitó la exploración quirúrgica innecesaria. Palabras clave: asfixia neonatal, enfermedades de las glándulas suprarrenales, hemorragia, hematocele.

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Section: Discussionunclassified

Hemorragia suprarrenal que se manifiesta como hematoma escrotal en el recién nacido. A propósito de un caso

2015

arch Argent Pediat

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“…The process results in a DIC associated with hepatosplenomegaly, elevated serum levels of liver enzymes, cytopenia and potentially fatal multi-organ involvement. 1 In paediatric patients with rheumatic diseases, MAS is most commonly seen in systemic onset juvenile idiopathic arthritis (soJIA), 2 , but it has been also rarely described in SLE, 3 dermatomyositis 4 and Kawasaki disease (KD). 5 Two recent case series reported a mortality ranging from 8 to 22%.…”

Section: Discussionmentioning

confidence: 99%

“…5 Two recent case series reported a mortality ranging from 8 to 22%. 2,6 The pathogenetic mechanism of MAS is currently not clear, but the process seems to be triggered by viral infections, drugs or change in medication regimen. 2,6 A literature search reveals only nine cases of MAS as presenting manifestation of SLE in childhood [6][7][8][9] .…”

Section: Discussionmentioning

confidence: 99%

“…2,6 The pathogenetic mechanism of MAS is currently not clear, but the process seems to be triggered by viral infections, drugs or change in medication regimen. 2,6 A literature search reveals only nine cases of MAS as presenting manifestation of SLE in childhood [6][7][8][9] . At the Department of Paediatrics of Padua, we saw another SLE-related MAS in a 12-year-old girl affected by SLE since the age of 8.…”

Section: Discussionmentioning

confidence: 99%

“…The rest of the cases had non-surgical management after further evaluation. 2 One of the cases reported in the literature developed disseminated intravascular coagulation after having an unnecessary scrotal exploration. It was detected to have adrenal haemorrhage by a post-operative abdominal ultrasound scan.…”

Section: November 2008 Dear Editor Neonatal Testicular Torsion or Not?mentioning

confidence: 99%

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