Alessia S, Flavia I, Vittoria C, Cosetta M, Raffaella C, Francesco C, Maria N, Gianfranco M, Fabio B. Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it's a diagnostic challenge?
Ital J Pediatr 2021;
47:207. [PMID:
34641915 PMCID:
PMC8507181 DOI:
10.1186/s13052-021-01161-x]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 09/24/2021] [Indexed: 11/30/2022] Open
Abstract
Background
Idiopathic hemoperitoneum in the newborn is an entity very rarely encountered in clinical practice.
Case presentation
A case of scrotal hemorrhage (SH) associated with intrabdominal hemorrhaging and acute anemia is presented. Indications for early surgery included a massive scrotal hematoma, rapid onset of severe anemia, and unknown etiology.
Conclusion
Clinical and diagnostic approaches in a case of neonatal scrotal hematoma should be given careful consideration as abdominal in origin, and a pre-operative computed tomography (CT) scan or magnetic resonance image (MRI) in addition to an abdominal/scrotal ultrasound should be added as part of the diagnostic work-up.
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