Idiopathic scrotal hematoma in newborns: a case report and literature review.

IF 2.3 3区医学 Q2 PEDIATRICS

Pediatric Radiology Pub Date : 2025-08-08 DOI:10.1007/s00247-025-06357-5

Carlotta Plessi, Grazia Spampinato, Enrica Caponcelli, Viviana Durante, Michelina Ciliberti, Katia Rossi, Pier Luca Ceccarelli

引用次数: 0

Abstract

Neonatal acute scrotum is an uncommon condition, with testicular torsion being the most critical differential diagnosis. Idiopathic scrotal hematoma is a rare entity characterized by scrotal swelling and discoloration, with preserved testicular perfusion. Differentiating idiopathic scrotal hematoma from testicular torsion is challenging but essential to avoid unnecessary surgery. We report a case of a newborn who presented with scrotal swelling and discoloration at 72 h of life. Doppler ultrasound revealed preserved testicular blood flow, and abdominal ultrasound excluded intra-abdominal pathology. The patient was diagnosed with idiopathic scrotal hematoma and managed conservatively. A review of 16 cases of neonatal idiopathic scrotal hematoma highlights its diagnostic challenges and the potential for misdiagnosis. While early reports emphasized surgical exploration, advances in imaging, particularly Doppler ultrasound, now allow for non-invasive diagnosis and conservative management.

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新生儿特发性阴囊血肿1例报告并文献复习。

新生儿急性阴囊是一种罕见的情况，与睾丸扭转是最关键的鉴别诊断。特发性阴囊血肿是一种罕见的以阴囊肿胀和变色为特征的实体，并保留睾丸灌注。区分特发性阴囊血肿与睾丸扭转是具有挑战性的，但必要避免不必要的手术。我们报告一个病例的新生儿谁提出了阴囊肿胀和变色在72小时的生活。多普勒超声显示保留睾丸血流，腹部超声排除腹腔内病理。患者被诊断为特发性阴囊血肿并进行保守治疗。回顾16例新生儿特发性阴囊血肿突出其诊断挑战和误诊的可能性。虽然早期的报告强调手术探查，但成像技术的进步，特别是多普勒超声，现在允许非侵入性诊断和保守治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Radiology 医学-核医学

CiteScore

4.40

自引率

17.40%

发文量

300

审稿时长

3-6 weeks

期刊介绍： Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.