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新生儿特发性阴囊血肿。

Idiopathic scrotal hematoma in a neonate.

机构信息

Neonatal Intensive Care Unit, General State Hospital of Nikaia "Agios Panteleimon", Piraeus, Greece.

Paediatric Department, General Hospital of Pella - Hospital Unit of Edessa, Greece.

出版信息

Ger Med Sci. 2021 Feb 19;19:Doc01. doi: 10.3205/000288. eCollection 2021.

DOI:10.3205/000288
PMID:33642965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7894276/
Abstract

Neonatal scrotal hematoma is considered a surgical emergency in the neonatal period. Up to recently, immediate surgical exploration was considered the gold standard for the diagnosis and treatment in the underlying causes. In this article, we present a case of idiopathic scrotal hematoma in a neonate. It was managed conservatively with clinical and ultrasonographic follow-up. The hematoma had gradually subsided, and any surgical intervention was avoided to the neonate. With good clinical and imaging follow-up, some cases could be managed nonoperatively.

摘要

新生儿阴囊血肿在新生儿期被视为外科急症。直到最近，立即进行手术探查仍被认为是明确病因和治疗的金标准。在本文中，我们介绍了一例新生儿特发性阴囊血肿的病例。该病例采用保守治疗，进行临床和超声随访。血肿逐渐消退，避免对新生儿进行任何手术干预。通过良好的临床和影像学随访，一些病例可以进行非手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da4/7894276/903d410bcac4/GMS-19-01-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da4/7894276/b19a5ee605de/GMS-19-01-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da4/7894276/d6fb28b0e574/GMS-19-01-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da4/7894276/903d410bcac4/GMS-19-01-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da4/7894276/b19a5ee605de/GMS-19-01-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da4/7894276/d6fb28b0e574/GMS-19-01-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da4/7894276/903d410bcac4/GMS-19-01-g-003.jpg

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本文引用的文献

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Acute Idiopathic Scrotal Edema: Systematic Literature Review.急性特发性阴囊水肿：系统文献综述
Eur J Pediatr Surg. 2018 Jun;28(3):222-226. doi: 10.1055/s-0037-1603089. Epub 2017 May 15.
2
Scrotal pain: evaluation and management.阴囊疼痛：评估与处理
Korean J Urol. 2015 Jan;56(1):3-11. doi: 10.4111/kju.2015.56.1.3. Epub 2015 Jan 12.
3
Idiopathic scrotal hematoma in neonate: a case report and review of the literature.新生儿特发性阴囊血肿：一例病例报告并文献复习
Case Rep Urol. 2014;2014:212914. doi: 10.1155/2014/212914. Epub 2014 May 27.
4
Urotrauma: AUA guideline.尿路创伤：AUA 指南。
J Urol. 2014 Aug;192(2):327-35. doi: 10.1016/j.juro.2014.05.004. Epub 2014 May 20.
5
Retrospective review of diagnosis and treatment in children presenting to the pediatric department with acute scrotum.回顾性分析儿科急诊以急性阴囊就诊患儿的诊断和治疗情况。
AJR Am J Roentgenol. 2013 May;200(5):W444-9. doi: 10.2214/AJR.12.10036.
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Neonatal adrenal hemorrhage associated with scrotal hematoma: an unusual case report and literature review.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。
Pediatr Neonatol. 2012 Jun;53(3):210-2. doi: 10.1016/j.pedneo.2012.04.010. Epub 2012 Jun 12.
7
Scrotal hematoma as a sign of adrenal hemorrhage in newborns.阴囊血肿作为新生儿肾上腺出血的一种体征。
Sao Paulo Med J. 2011 Mar;129(2):113-5. doi: 10.1590/s1516-31802011000200011.
8
Colour Doppler ultrasonography replacing surgical exploration for acute scrotum: myth or reality?彩色多普勒超声检查替代急性阴囊的外科探查：神话还是现实？
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