Adrenal hemorrhage presenting as a scrotal hematoma in the newborn. A case report


Yarci E., Arayici S., Sari F. N. , Canpolat F. E. , Uras N., Dilmen U.

ARCHIVOS ARGENTINOS DE PEDIATRIA, vol.113, no.3, 2015 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 113 Issue: 3
  • Publication Date: 2015
  • Doi Number: 10.5546/aap.2015.eng.e161
  • Title of Journal : ARCHIVOS ARGENTINOS DE PEDIATRIA

Abstract

Neonatal adrenal hemorrhage is uncommon. It is present in 0,2% of newborns. Ten percent of the cases occur bilaterally. It can be associated with birth trauma, large birth weight, or neonatal course complicated by hypoxia and asphyxia, hypotension, or coagulopathy. Scrotal hematoma is an extremely rare manifestation of NAH. Most patients present scrotal swelling with bluish discolouration. Scrotal swelling with/without bluish discoloration in newborns may result from different causes. We report an unusual case of neonatal adrenal hemorrage secondary to perinatal asphyxia, associated with SH. Neonatal adrenal hemorrhage and scrotal hematoma were diagnosed by ultrasonography and treated by conservative treatment, avoiding unnecessary surgical exploration.