An unusual presentation of neonatal adrenal hemorrhage

O'Neill, John; Hendry, G. M. A.; MacKinlay, Gordon A.

doi:10.1016/s0929-8266(02)00081-2

Cited by 20 publications

(26 citation statements)

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“…Thirty-one references were found, of which 21 referred to adrenal hemorrhage ( Table 1). [1][2][3][4][5][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] The main signs and symptoms, risk factors and differential diagnoses linking neonatal adrenal hemorrhage with scrotal abnormalities are shown in Table 2. In the study with the greatest number of cases, Rumińska et al 7 presented 13 neonates with adrenal hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Scrotal hematoma as a sign of adrenal hemorrhage in newborns

Gonçalves¹,

Abuabara

Abuabara³

et al. 2011

Sao Paulo Med. J.

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CONTEXT: Bluish discoloration and swelling of the scrotum in newborns can arise from a number of diseases, including torsion of the testes, orchitis, scrotal or testicular edema, hydrocele, inguinal hernia, meconium peritonitis, hematocele, testicular tumor and traumatic hematoma. Forty-two cases of scrotal abnormalities as signs of neonatal adrenal hemorrhage were found in the literature. CASE REPORT:We present a case of scrotal hematoma due to adrenal hemorrhage in a newborn. Conservative treatment with clinical follow-up was adopted, with complete resolution within 10 days. The possible differential diagnoses are reviewed and discussed.RESUMO CONTEXTO: Edema e coloração azulada do escroto do recém-nascido podem sugerir uma série de doenças, incluindo torção dos testículos, orquite, edema escrotal e testicular, hidrocele, hérnia inguinal, peritonite meconial, hematocele, tumor testicular e hematoma traumático. Quarenta e dois casos de alterações escrotais como sinal de hemorragia da glândula adrenal foram encontrados na literatura. RELATO DE CASO:Apresentamos um caso de hematoma escrotal devido a hemorragia da glândula adrenal em um recém-nascido. O tratamento adotado foi conservador, com acompanhamento clínico, com resolução completa em 10 dias. Os possíveis diagnósticos diferenciais são revisados e discutidos.

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Section: Discussionmentioning

confidence: 99%

Scrotal hematoma as a sign of adrenal hemorrhage in newborns

Gonçalves¹,

Abuabara

Abuabara³

et al. 2011

Sao Paulo Med. J.

View full text Add to dashboard Cite

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“…Acute and subacute torsion of the spermatic cord should also be considered. Although rarely NAH presents as scrotal swelling, mimicking a condition of acute scrotum and resulting in misdiagnosis, [1][2][3][4] the differential diagnosis between this condition and other causes of scrotal swelling in newborn is needed to avoid unnecessary surgical exploration. 5,6 NAH is uncommon with a reported incidence of 0.005 to 0.14% on autopsy series.…”

Section: Discussionmentioning

confidence: 99%

“…Ten percent of the cases occur bilaterally. 1 In the newborn, the adrenal gland is very large and vulnerable to vascular damage. 2 NAH may be spontaneous or associated with perinatal hypoxia or difficult or traumatic delivery.…”

Section: Discussionmentioning

confidence: 99%

“…2 NAH may be spontaneous or associated with perinatal hypoxia or difficult or traumatic delivery. 1,7 NAH usually occurs at birth or during the immediate postnatal period. As such, the finding of an adrenal mass may lead to serious problems of differential diagnosis as other serious pathological entities such as cystic neuroblastoma (CNB) must be considered.…”

Section: Discussionmentioning

confidence: 99%

“…Postnatal diagnosis of CNB may be obtained by indirect signs such as collection of 24-h urine specimen to measure vanillymandelic and omovanillyc acid, and by radiological examinations such as TC or MRI. 1 Clinical manifestations of NAH are anemia, abdominal mass, jaundice and rarely scrotal swelling with skin discoloration. [8][9][10][11] Usually, if bleeding is moderate, blood remains in the adrenal capsule.…”

Section: Discussionmentioning

confidence: 99%

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