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

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 scrot...

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Main Authors: Salatto Alessia, Indrio Flavia, Campanella Vittoria, Maggipinto Cosetta, Cocomazzi Raffaella, Canale Francesco, Nobili Maria, Maffei Gianfranco, Bartoli Fabio
Format: Article
Language:English
Published: BMC 2021-10-01
Series:Italian Journal of Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s13052-021-01161-x
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author Salatto Alessia
Indrio Flavia
Campanella Vittoria
Maggipinto Cosetta
Cocomazzi Raffaella
Canale Francesco
Nobili Maria
Maffei Gianfranco
Bartoli Fabio
author_facet Salatto Alessia
Indrio Flavia
Campanella Vittoria
Maggipinto Cosetta
Cocomazzi Raffaella
Canale Francesco
Nobili Maria
Maffei Gianfranco
Bartoli Fabio
author_sort Salatto Alessia
collection DOAJ
description 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.
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spelling doaj.art-c7e9ae622d234832aa70441afd11413c2022-12-21T19:16:28ZengBMCItalian Journal of Pediatrics1824-72882021-10-014711510.1186/s13052-021-01161-xIdiopathic neonatal hemoperitoneum presented as scrotal hematoma: it’s a diagnostic challenge?Salatto Alessia0Indrio Flavia1Campanella Vittoria2Maggipinto Cosetta3Cocomazzi Raffaella4Canale Francesco5Nobili Maria6Maffei Gianfranco7Bartoli Fabio8Department of Medical and Surgical Science University of Foggia, Pediatric Surgery Ospedali Riuniti FoggiaDepartment of Medical and Surgical Science University of Foggia, Pediatric Surgery Ospedali Riuniti FoggiaDepartment of Medical and Surgical Science University of Foggia, Pediatric Surgery Ospedali Riuniti FoggiaDepartment of Medical and Surgical Science University of Foggia, Pediatric Surgery Ospedali Riuniti FoggiaDepartment of Pediatric Surgery, AUO “Ospedali Riuniti”Department of Pediatric Surgery, AUO “Ospedali Riuniti”Department of Pediatric Surgery, AUO “Ospedali Riuniti”Department of Neonatology, AUO “Ospedali Riuniti”Department of Medical and Surgical Science University of Foggia, Pediatric Surgery Ospedali Riuniti FoggiaAbstract 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.https://doi.org/10.1186/s13052-021-01161-xHemoperitoneumAnaemiaScrotal hematomaLaparotomy
spellingShingle Salatto Alessia
Indrio Flavia
Campanella Vittoria
Maggipinto Cosetta
Cocomazzi Raffaella
Canale Francesco
Nobili Maria
Maffei Gianfranco
Bartoli Fabio
Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it’s a diagnostic challenge?
Italian Journal of Pediatrics
Hemoperitoneum
Anaemia
Scrotal hematoma
Laparotomy
title Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it’s a diagnostic challenge?
title_full Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it’s a diagnostic challenge?
title_fullStr Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it’s a diagnostic challenge?
title_full_unstemmed Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it’s a diagnostic challenge?
title_short Idiopathic neonatal hemoperitoneum presented as scrotal hematoma: it’s a diagnostic challenge?
title_sort idiopathic neonatal hemoperitoneum presented as scrotal hematoma it s a diagnostic challenge
topic Hemoperitoneum
Anaemia
Scrotal hematoma
Laparotomy
url https://doi.org/10.1186/s13052-021-01161-x
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