Scrotal Hematoma as a Sign of Subcapsular Liver Hematoma in a Preterm Infant

İlhan, Özkan; Özer, Esra Arun; Pekçevik, Yeliz; Özdemir, Senem Alkan; Akbay, Sinem; Memur, Seyma; Kanar, Berat; Tatlı, Mustafa Mansur

doi:10.1016/j.pedneo.2015.08.011

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…Apart from NAH, splenic hemorrhage and subcapsular liver hematoma have been reported as causes of SH, which are rare conditions in neonates. 18 , 19 They may be life threatening due to hemorrhagic shock, especially in case of splenic rupture or rupture of the subcapsular liver hematoma. Therefore, it should be taken into account that SH can act as a window for intra‐abdominal hemorrhage.…”

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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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%

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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“…Few neonatal cases of visceral bleeding presenting as scrotal haematoma have been reported in literature. [4][5][6]We can speculate that adrenal or some visceral haemorrhage occurring before 28 weeks of gestation might have extended to scrotum and resolved with no sonographical features; or it could be idiopathic in etiology. Extensive work-up including MRI or CT scan imaging can point to the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Antenatal Idiopathic Scrotal Haematoma: A Case Report

et al. 2020

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Neonatal scrotal haematoma is a rare entity which requires prompt diagnosis and management. Mostly the diagnosis is confirmed at exploration. A male baby was delivered by Caesarean section with antenatally identified scrotal mass. Examination and work-up pointed to idiopathic scrotal haematoma which was drained surgically. No cause of scrotal haematoma could be identified. The baby is doing fine postoperatively.

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“…A total of 39 articles reported 433 cases SLH, in neonatal population [ 2 , 3 , 4 , 5 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ]. The characteristics of the reported cases are summarized in Table S1 .…”

Section: Review Of Literaturementioning

confidence: 99%

“…Review data regarding the diagnosis methods and treatment. References [ 2 , 3 , 4 , 5 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ] are cited in the Supplementary Materials.…”

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confidence: 99%

Subcapsular Liver Hematoma—A Life-Threatening Condition in Preterm Neonates—A Case Series and Systematic Review of the Literature

Liakou

Batsiou

Konstantinidi

et al. 2022

JCM

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The subcapsular hematoma (SLH) of the liver is a rare finding in living infants. The clinical presentation of rupture is non-specific, with the signs of hypovolemic shock dominating. The causes are several, with prematurity, trauma and sepsis playing a leading role in the creation of an SHL. Umbilical vein catheterization and an increased bleeding tendency have also been associated with this usually fatal diagnosis. Abdominal ultrasonography, among other imaging methods, comprises the gold standard examination for early diagnosis. It should be differentiated from other possible causes of shock, such as sepsis and intraventricular hemorrhage, which have similar clinical presentation. We report a case series of three very low birth weight preterms (VLBW), with an SHL, during the first days of life, one of which survived from this usually catastrophic condition. A comprehensive review of the literature regarding this clinical entity was also conducted. A high index of suspicion is essential for early identification of such a case, with conservative or surgical treatment being the way to go.

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Scrotal Hematoma as a Sign of Subcapsular Liver Hematoma in a Preterm Infant

Cited by 4 publications

References 6 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

Antenatal Idiopathic Scrotal Haematoma: A Case Report

Subcapsular Liver Hematoma—A Life-Threatening Condition in Preterm Neonates—A Case Series and Systematic Review of the Literature

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