RT Journal Article
SR Electronic
T1 Neonatal adrenal haemorrhage with contralateral scrotal haematoma and inguinal ecchymosis
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e261151
DO 10.1136/bcr-2024-261151
VO 17
IS 6
A1 Ng, Benjamin Wei-Liang
A1 Lim, Vichard
A1 Aizulkamal, Aiza Hazima
A1 Ramanaidu, Vengkatarao
YR 2024
UL http://casereports.bmj.com/content/17/6/e261151.abstract
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.