Gonçalves Renata, Abuabara Allan, Abuabara Rubia Fatima Fuzza, Feron Claudia Aparecida
Neonatal Medicine Division, Department of Pediatrics, Dona Helena Hospital, Joinville, Santa Catarina, Brazil.
Sao Paulo Med J. 2011 Mar;129(2):113-5. doi: 10.1590/s1516-31802011000200011.
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.
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.
新生儿阴囊出现青肿可能由多种疾病引起，包括睾丸扭转、睾丸炎、阴囊或睾丸水肿、鞘膜积液、腹股沟疝、胎粪性腹膜炎、阴囊积血、睾丸肿瘤和外伤性血肿。文献中发现42例阴囊异常作为新生儿肾上腺出血体征的病例。
我们报告一例新生儿因肾上腺出血导致阴囊血肿的病例。采用临床随访的保守治疗方法，10天内完全消退。对可能的鉴别诊断进行了回顾和讨论。
