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Neonatal adrenal haemorrhage with contralateral scrotal haematoma and inguinal ecchymosis.
- Source :
-
BMJ case reports [BMJ Case Rep] 2024 Jun 13; Vol. 17 (6). Date of Electronic Publication: 2024 Jun 13. - Publication Year :
- 2024
-
Abstract
- Neonatal adrenal haemorrhage (NAH) is more frequently described in neonates due to their relatively larger size and increased vascularity. While most are asymptomatic, they can present with anaemia, jaundice, abdominal mass, scrotal haematoma or more severe complications such as shock and adrenal insufficiency. Scrotal haematoma seen with NAH may be mistaken for other more serious conditions causing acute scrotum. Prompt sonographic examination that includes the bilateral adrenal glands may help to detect NAH early and to avoid unnecessary interventions. Cases of NAH causing ipsilateral inguinal ecchymosis and scrotal haematoma have been reported, but contralateral haematomas are very rare. In this report, we present a unique case of a neonate with an antenatally acquired adrenal haematoma complicated with an acute peripartum rebleeding manifesting as a contralateral scrotal haematoma and inguinal ecchymosis. The NAH was treated conservatively and resolved on follow-up imaging.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Humans
Male
Infant, Newborn
Female
Ultrasonography
Genital Diseases, Male complications
Genital Diseases, Male diagnostic imaging
Genital Diseases, Male etiology
Genital Diseases, Male diagnosis
Pregnancy
Ecchymosis etiology
Scrotum diagnostic imaging
Hematoma complications
Hematoma diagnostic imaging
Hematoma diagnosis
Hematoma etiology
Adrenal Gland Diseases complications
Adrenal Gland Diseases diagnosis
Adrenal Gland Diseases diagnostic imaging
Hemorrhage etiology
Hemorrhage diagnosis
Hemorrhage diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 17
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 38871642
- Full Text :
- https://doi.org/10.1136/bcr-2024-261151