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Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it's a diagnostic challenge?
Alessia Salatto1, Flavia Indrio2, Vittoria Campanella1
1Department of Medical and Surgical Science University of Foggia, Pediatric Surgery Ospedali Riuniti Foggia, Foggia, Italy.
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.
