Platinum open access journal
pISSN 2466-0493 eISSN 2466-054X
Indexed in MEDLINE, SCIE, Scopus, DOAJ and more
    Korean J Urol. 2007 Jul;48(7):757-760. Korean.
    Published online Jul 31, 2007.
    https://doi.org/10.4111/kju.2007.48.7.757
    Copyright © 2007 The Korean Urological Association
    Case Report

    Neonatal Adrenal Hemorrhage Presenting as Acute Scrotum

    Seyung Kim, Jae Rock Oh, Jin Bum Kim, Seong Ho Lee, Sang Kon Lee, Im Kyung Hwang,1 Sook Namkung,1 and Eun Joo Bae2
      • Department of Urology, School of Medicine, Hallym University, Seoul, Korea.
      • 1Department of Radiology, School of Medicine, Hallym University, Seoul, Korea.
      • 2Department of Pediatrics, School of Medicine, Hallym University, Seoul, Korea.
    • Corresponding author (Email: shleeuro@hallym.ac.kr )
    Received April 24, 2007; Accepted June 04, 2007.

    Abstract

    There has been only 23 cases of neonatal adrenal hemorrhage presenting as an acute scrotum and unnecessary surgical exploration was performed in nine of these case (39%) due to suspected testicular torsion. We report here on a case of a 2-day-old boy with neonatal adrenal hemorrhage, and he presented with an acute scrotum; this child's condition was managed conservatively.

    Keywords
    Neonate; Adrenal glands; Hemorrhage; Scrotum

    Figures

    Fig. 1
    Swelling and discoloration of the right groin and scrotum.

    Fig. 2
    The scrotal (A) and transabdominal (B) ultrasonography demonstrated a right testis (T) with surrounding hematoma (H) and a retroperitoneal hematoma (R) above the right kidney (K).

    Fig. 3
    Magnetic resonance imaging demonstrated a retroperitoneal hematoma (H) with low, heterogeneous signal intensity on the T2-weighted image (A), and this was not enhanced on the contrast enhanced T1-weighted image (B).

    Tables

    Table 1
    The reported cases of neonatal adrenal hemorrhage presenting as acute scrotum: clinical characteristics of the patients

    References

      1. Black J, Williams DI. Natural history of adrenal hemorrhage in the newborn. Arch Dis Child 1973;48:183–190.
      1. Adorisio O, Mattei R, Ciardini E, Centonze N, Noccioli B. Neonatal adrenal hemorrhage mimicking an acute scrotum. J Perinatol 2007;27:130–132.
      1. Avolio L, Fusillo M, Ferrari G, Chiara A, Bragheri R. Neonatal adrenal hemorrhage manifesting as acute scrotum: timely diagnosis prevents unnecessary surgery. Urology 2002;59:601.
      1. Giacoia GP, Cravens JD. Neonatal adrenal hemorrhage presenting as scrotal hematoma. J Urol 1990;143:567–568.
      1. Karpe B, Nybonde T. Adrenal hemorrhage versus testicular torsion-a diagnostic dilemma in the neonate. Pediatr Surg Int 1989;4:337–340.
      1. Putnam MH. Neonatal adrenal hemorrhage presenting as a right scrotal mass. JAMA 1989;261:2958.
      1. Amoury RA, Barth GW, Hall RT, Rhodes PG, Holder TM, Ashcraft KW. Scrotal ecchymosis: sign of intraperitoneal hemorrhage in the newborn. South Med J 1982;75:1471–1475.
      1. Choo GY, Chung YG, Kim YJ, Chung JS, Kang SC, Lee T. Bilateral neonatal torsion of testis. Korean J Urol 2006;47:794–796.
    MeSH Terms
    Adrenal Glands
    Hemorrhage*
    Humans
    Infant, Newborn
    Male
    Scrotum*
    Spermatic Cord Torsion
    Metrics
    Share
    Figures
    slide
    slide
    slide

    1 / 3

    Tables
    slide

    1 / 1

    PERMALINK