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  • Perinatal/Neonatal Case Presentation
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Perinatal/Neonatal Case Presentation

Neonatal adrenal hemorrhage mimicking an acute scrotum

Abstract

Twenty-two cases of scrotal hematoma caused by neonatal adrenal hemorrhage are reported in the literature and unnecessary surgical exploration was performed in nine (41%), suspecting testicular torsion. In this paper, we present a newborn male with right adrenal gland hemorrhage causing right scrotal swelling and discoloration of groin managed conservatively.

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References

  1. O'Neill JMD, Hendry GMA, MacKinlay GA . An unusual presentation of neonatal adrenal hemorrhage. Eur J Ultrasound 2002; 16: 261–264.

    Article  Google Scholar 

  2. Bergami G, Malena S, Di Mario M, Fariello G . Sonographic follow-up of neonatal adrenal hemorrhage. Fourteen case reports. Radiol Med 1990; 79: 474–478.

    CAS  PubMed  Google Scholar 

  3. Putnam MH . Neonatal adrenal hemorrhage presenting as a right scrotal mass. JAMA 1989; 261: 2958.

    Article  CAS  Google Scholar 

  4. Karpe B, Nybonde T . Adrenal hemorrhage versus testicular torsion-a diagnostic dilemma in the neonate. Pediatr Surg Int 1989; 4: 337–340.

    Article  Google Scholar 

  5. Avolio L, Fusillo M, Ferrari G, Chiara A, Braghieri R . Neonatal adrenal hemorrhage manifesting as acute scrotum: timely diagnosis prevents unnecessary surgery. Urology 2002; 59: 601 viii–601 x.

    Article  Google Scholar 

  6. Yang WT, Ku KW, Metreweli C . Case report. Neonatal adrenal haemorrhage presenting as an acute right scrotal swelling (haematoma) – value of ultrasound. Clin Radiol 1995; 50 (2): 127–129.

    Article  CAS  Google Scholar 

  7. Milele V, Patti G, Mazzoni G, Calisti A, Valenti M . Ultrasonography in the diagnosis of neonatal adrenal gland hemorrhage. Radiol Med 1994; 87: 111–117.

    Google Scholar 

  8. Duman N, Ören H, Gülcan H, Kunmral A, Olguner M, Özkan H . Scrotal hematoma due to neonatal adrenal hemorrhage. Pediatr Int 2004; 46: 360–362.

    Article  Google Scholar 

  9. Liu KW, Ku KW, Cheung KL, Chan YL . Acute scrotal swelling: a sign of neonatal adrenal haemorrhage. J. Pediatr Child Health 1994; 30 (4): 368–369.

    Article  CAS  Google Scholar 

  10. Ibañez Godoy I, Mora Navarro D, Delgado Rioja MA, Losada Martinez A, Herrera del Rey C . Unilateral scrotal hematoma. Ann Pediatr (Barc) 2004; 60: 477–478.

    Article  Google Scholar 

  11. Anding R, Fastnacht-Urban F, Walz PH . ‘Acute scrotum’ in the neonate. Adrenal haemorrhage as cause. Urologe A 2000; 39 (1): 48–51.

    Article  CAS  Google Scholar 

  12. Milele V, Galluzzo M, Patti G, Mazzoni G, Calisti A, Valenti M . Scrotal hematoma due to neonatal adrenal haemorrhage: the value of ultrasonography in avoiding unnecessary surgery. Pediatric Radiol 1997; 27: 672–674.

    Article  Google Scholar 

  13. Das S, Singer A . Controversies of perinatal torsion of the spermatic cord: a review, survey and recommendation. J Urol 1990; 143: 231–233.

    Article  CAS  Google Scholar 

  14. Al-Salem AH . Intra-uterine testicular torsion: early diagnosis and treatment. BJU Int 1999; 83: 1023–1025.

    Article  CAS  Google Scholar 

  15. Sakellaris G, Sifakis S, Hatzidaki E, Daskalojannaki M, Giannacopoulou C, Charissis G . Early exploration in perinatal torsion of the spermatic cord: a case report. J Matern Fetal Neonatal Med 2004; 15 (3): 207–209.

    Article  CAS  Google Scholar 

  16. Herman A, Schvimer M, Tovbin J, Sandbank J, Bukovski I, Strauss S et al. Antenatal sonographic diagnosis of testicular torsion. Ultrasound Obstet Gynecol 2002; 20: 522–524.

    Article  CAS  Google Scholar 

  17. Lam WWC, Yap TL, Jacobsen AS, James H, Teo EL . Colour doppler ultrasonography replacing surgical exploration for acute scrotum: myth or reality? Pediatr Radiol 2005; 35: 587–600.

    Article  Google Scholar 

  18. Cartwright PC, Brent W, Reid BS, Shultz PK . Color doppler ultrasound in newborn testis torsion. Urology 1995; 45: 667–670.

    Article  CAS  Google Scholar 

  19. Giacoia GP, Cravens JD . Neonatal adrenal hemorrhage presenting as scrotal hematoma. J Urol 1990; 143: 567–568.

    Article  CAS  Google Scholar 

  20. Thambi-Dorai CR, Smith AJ, Dewan PA . Adrenal hemorrhage presenting as acute scrotal swelling in a neonate. J Pediatr Chlid Health 1994; 30: 72–73.

    Article  CAS  Google Scholar 

  21. Kirby CP, Davidson PM . Inguinoscrotal bruising: a sign of neonatal adrenal hemorrhage. Pediatr Emerg Care 2000; 16: 179.

    Article  CAS  Google Scholar 

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Correspondence to O Adorisio.

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Adorisio, O., Mattei, R., Ciardini, E. et al. Neonatal adrenal hemorrhage mimicking an acute scrotum. J Perinatol 27, 130–132 (2007). https://doi.org/10.1038/sj.jp.7211638

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  • DOI: https://doi.org/10.1038/sj.jp.7211638

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