Giacoia G P, Cravens J D
Department of Pediatrics, University of Oklahoma Medical College, Tulsa.
J Urol. 1990 Mar;143(3):567-8. doi: 10.1016/s0022-5347(17)40021-8.
A neonate with hemorrhage of the right adrenal gland who presented with bilateral scrotal masses is described. The difficulty in establishing the diagnosis and ruling out testicular torsion is outlined. The differential diagnosis of scrotal swelling is listed. Adrenal hemorrhage can produce hemoperitoneum but this case is unique in that hemoperitoneum was not associated with signs of peripheral circulatory insufficiency and/or abdominal distension, and was manifested only by bilateral scrotal hematomas. The implication of these findings is emphasized.
本文描述了一名患有右侧肾上腺出血并伴有双侧阴囊肿块的新生儿。概述了诊断及排除睾丸扭转的困难之处。列出了阴囊肿胀的鉴别诊断。肾上腺出血可导致血腹，但该病例的独特之处在于，血腹未伴有外周循环功能不全和/或腹胀的体征，仅表现为双侧阴囊血肿。强调了这些发现的意义。
