新生儿肾上腺出血合并阴囊血肿：一例不寻常病例报告及文献复习。

Neonatal adrenal hemorrhage associated with scrotal hematoma: an unusual case report and literature review.

机构信息

Department of Pediatrics, Taichung Armed Forces General Hospital, Taiping, Taichung, Taiwan.

出版信息

Pediatr Neonatol. 2012 Jun;53(3):210-2. doi: 10.1016/j.pedneo.2012.04.010. Epub 2012 Jun 12.

DOI:10.1016/j.pedneo.2012.04.010

Abstract

Neonatal adrenal hemorrhage (NAH) is rare and is found in only 0.2% of newborns. Scrotal hematoma (SH) in newborns is also rare. NAH associated with SH is extremely rare, with only 29 cases reported in the literature. Herein, we report a baby boy who presented with SH; after ultrasonography examinations, the diagnosis of NAH associated with SH was made. He received conservative treatment only. From our experience and that of others, appropriate integration of clinical information, physical examination and the results of abdominal and scrotal ultrasonography can achieve the accurate diagnosis of NAH associated with SH. This association allows conservative treatment that avoids unnecessary surgical exploration.

摘要

新生儿肾上腺出血（NAH）较为罕见，仅占新生儿的 0.2%。新生儿阴囊血肿（SH）也较为罕见。NAH 合并 SH 极其罕见，文献中仅报告了 29 例。在此，我们报告了一例患有 SH 的男婴；经超声检查，诊断为 NAH 合并 SH。他仅接受了保守治疗。根据我们的经验和他人的经验，适当整合临床信息、体格检查以及腹部和阴囊超声检查结果，可以准确诊断 NAH 合并 SH。这种合并症可以采用保守治疗，避免不必要的手术探查。