PT  - JOURNAL ARTICLE
AU  - Ng, Benjamin Wei-Liang
AU  - Lim, Vichard
AU  - Aizulkamal, Aiza Hazima
AU  - Ramanaidu, Vengkatarao
TI  - Neonatal adrenal haemorrhage with contralateral scrotal haematoma and inguinal ecchymosis
AID  - 10.1136/bcr-2024-261151
DP  - 2024 Jun 01
TA  - BMJ Case Reports
PG  - e261151
VI  - 17
IP  - 6
4099  - http://casereports.bmj.com/content/17/6/e261151.short
4100  - http://casereports.bmj.com/content/17/6/e261151.full
SO  - BMJ Case Reports2024 Jun 01; 17
AB  - 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.