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Neonatal adrenal haemorrhage with contralateral scrotal haematoma and inguinal ecchymosis.
Ng, Benjamin Wei-Liang; Lim, Vichard; Aizulkamal, Aiza Hazima; Ramanaidu, Vengkatarao.
Afiliación
  • Ng BW; Faculty of Medicine, SEGi University, Kota Damansara, Selangor, Malaysia benng85@gmail.com.
  • Lim V; Department of Paediatrics, Sibu Hospital, Ministry of Health Malaysia, Sibu, Sarawak, Malaysia.
  • Aizulkamal AH; Department of Paediatrics, Sibu Hospital, Ministry of Health Malaysia, Sibu, Sarawak, Malaysia.
  • Ramanaidu V; Department of Diagnostic Imaging, Sibu Hospital, Ministry of Health Malaysia, Sibu, Sarawak, Malaysia.
BMJ Case Rep ; 17(6)2024 Jun 13.
Article en En | MEDLINE | ID: mdl-38871642
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escroto / Enfermedades de las Glándulas Suprarrenales / Equimosis / Hematoma / Hemorragia Límite: Female / Humans / Male / Newborn / Pregnancy Idioma: En Revista: BMJ Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Malasia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escroto / Enfermedades de las Glándulas Suprarrenales / Equimosis / Hematoma / Hemorragia Límite: Female / Humans / Male / Newborn / Pregnancy Idioma: En Revista: BMJ Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Malasia Pais de publicación: Reino Unido