Abstract

GONCALVES, Renata; ABUABARA, Allan; ABUABARA, Rubia Fatima Fuzza  and  FERON, Claudia Aparecida. Scrotal hematoma as a sign of adrenal hemorrhage in newborns. Sao Paulo Med. J. [online]. 2011, vol.129, n.2, pp. 113-115. ISSN 1516-3180.  http://dx.doi.org/10.1590/S1516-31802011000200011.

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.

Keywords : Hemorrhage; Hematocele; Adrenal glands; Adrenal gland diseases; Scrotum.