Bhatt Shuchi, Ahmad Mohammad, Batra Prerna, Tandon Anupama, Roy Satarupa, Mandal Samrat
Department of Radio-diagnosis, University College of Medical Sciences (University of Delhi) and GTB Hospital, Dilshad Garden, Delhi, 110095 India.
Department of Pediatrics, University College of Medical Sciences (University of Delhi) and GTB Hospital, Dilshad Garden, Delhi, 110095 India.
J Ultrasound. 2017 Apr 28;20(3):253-259. doi: 10.1007/s40477-017-0248-3. eCollection 2017 Sep.
Acute swelling and discoloration of scrotum in new born can have many localized causes like testicular torsion, inguinal hernia, scrotal or testicular edema, hydrocele, or even remote causes like adrenal hemorrhage. We report a neonate of adrenal hemorrhage presenting clinically as acute scrotum misguiding the clinician to rule out a local scrotal pathology. As the local clinical examination is not reliable in a newborn, it definitely requires an imaging evaluation to establish the diagnosis. This case report emphasizes being aware of the clinical association of acute adrenal hemorrhage and an acute scrotum and the role of ultrasonography in the evaluation of the various differential diagnoses leading to an acute scrotum. An optimum sonographic examination helps in suspecting an abdominal pathology as a cause of acute scrotum and in establishing the specific diagnosis of adrenal hemorrhage to avoid an unnecessary surgical exploration.
新生儿阴囊急性肿胀和变色可能有多种局部病因，如睾丸扭转、腹股沟疝、阴囊或睾丸水肿、鞘膜积液，甚至还有像肾上腺出血这样的远隔病因。我们报告一例肾上腺出血的新生儿，其临床症状表现为急性阴囊病变，误导临床医生排除了局部阴囊病变。由于新生儿的局部临床检查不可靠，明确诊断肯定需要进行影像学评估。本病例报告强调要了解急性肾上腺出血与急性阴囊之间的临床关联，以及超声检查在评估导致急性阴囊的各种鉴别诊断中的作用。优化的超声检查有助于怀疑腹部病变是急性阴囊的病因，并有助于明确肾上腺出血的具体诊断，从而避免不必要的手术探查。
