Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it's a diagnostic challenge?

Ital J Pediatr. 2021 Oct 12;47(1):207. doi: 10.1186/s13052-021-01161-x.

Abstract

Background: Idiopathic hemoperitoneum in the newborn is an entity very rarely encountered in clinical practice.

Case presentation: A case of scrotal hemorrhage (SH) associated with intrabdominal hemorrhaging and acute anemia is presented. Indications for early surgery included a massive scrotal hematoma, rapid onset of severe anemia, and unknown etiology.

Conclusion: Clinical and diagnostic approaches in a case of neonatal scrotal hematoma should be given careful consideration as abdominal in origin, and a pre-operative computed tomography (CT) scan or magnetic resonance image (MRI) in addition to an abdominal/scrotal ultrasound should be added as part of the diagnostic work-up.

Keywords: Anaemia; Hemoperitoneum; Laparotomy; Scrotal hematoma.

Publication types

  • Case Reports

MeSH terms

  • Genital Diseases, Male / etiology*
  • Hematoma / etiology*
  • Hemoperitoneum / diagnosis*
  • Humans
  • Infant, Newborn
  • Male
  • Scrotum