Abstract：
Neonatal adrenal haemorrhage (NAH) is more frequently described in neonates due to their relatively larger size and increased vascularity. While most are asymptomatic, they can present with anaemia, jaundice, abdominal mass, scrotal haematoma or more severe complications such as shock and adrenal insufficiency. Scrotal haematoma seen with NAH may be mistaken for other more serious conditions causing acute scrotum. Prompt sonographic examination that includes the bilateral adrenal glands may help to detect NAH early and to avoid unnecessary interventions. Cases of NAH causing ipsilateral inguinal ecchymosis and scrotal haematoma have been reported, but contralateral haematomas are very rare. In this report, we present a unique case of a neonate with an antenatally acquired adrenal haematoma complicated with an acute peripartum rebleeding manifesting as a contralateral scrotal haematoma and inguinal ecchymosis. The NAH was treated conservatively and resolved on follow-up imaging.
摘要：
新生儿肾上腺出血（NAH）由于其相对较大的体积和增加的血管分布而在新生儿中更常见。虽然大多数是无症状的，他们可以表现为贫血，黄疸,腹部肿块,阴囊血肿或更严重的并发症，如休克和肾上腺功能不全。NAH所见的阴囊血肿可能被误认为是其他更严重的疾病，导致急性阴囊。包括双侧肾上腺在内的快速超声检查可能有助于早期发现NAH并避免不必要的干预。已经报道了导致同侧腹股沟瘀斑和阴囊血肿的NAH病例。但是对侧血肿非常罕见。在这份报告中,我们介绍了一例新生儿产前获得性肾上腺血肿，并发急性围产期再出血，表现为对侧阴囊血肿和腹股沟瘀斑。对NAH进行保守治疗，并在随访成像中解决。
