Scrotal hematoma due to neonatal adrenal hemorrhage: the value of ultrasonography in avoiding unnecessary surgery

Abstract

Scrotal hematoma is an uncommon presentation of neonatal adrenal hemorrhage. Nine previous cases of such an association have been reported in the literature, and unnecessary surgery was carried out in five of these cases. The authors report three new cases observed during a 3-year period and stress the critical role of scrotal and abdominal ultrasonography in order to avoid unnecessary surgical exploration.

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

“…La sangre llega al escroto a lo largo del conducto peritoneo vaginal permeable o por disección del tejido del retroperitoneo. 2,5,8 El hematoma escrotal es una manifestación e x t r e m a d a m e n t e r a r a d e l a h e m o r r a g i a suprarrenal neonatal. La mayoría de los pacientes presentan tumefacción escrotal con coloración azulada.…”

Adrenal Hemorrhage as a Rare Cause of Neonatal Anemia Associated with Hydrocephalus Secondary to Intraventricular Hemorrhage—A Case Report

“…Adrenal hemorrhage is a relatively uncommon condition frequently seen in term male infants delivered vaginally [7,8]. The incidence of detected cases ranges from 1.7 to 2.1 per 1000 births [4].…”

Neonatal adrenal hemorrhage mimicking an acute scrotum

“…Blood reaches the scrotum through a patent processus vaginalis or by dissection of the tissue of the retroperitoneum. 2,8,12 Several authors recommend considering an acute scrotal incident as a possible torsion of the testes and to provide promptly a surgical exploration to improve testicular salvage rates in newborn. 13,14 Testicular torsion in the neonatal period may be either antenatal or perinatal.…”