{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T11:39:24Z","timestamp":1773056364433,"version":"3.50.1"},"reference-count":23,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,6,5]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2024-261151","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T22:42:03Z","timestamp":1718318523000},"page":"e261151","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Neonatal adrenal haemorrhage with contralateral scrotal haematoma and inguinal ecchymosis"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0169-410X","authenticated-orcid":false,"given":"Benjamin Wei-Liang","family":"Ng","sequence":"first","affiliation":[{"name":"Faculty of Medicine, SEGi University, Kota Damansara, Selangor, Malaysia"},{"name":"Department of Paediatrics, Sibu Hospital, Ministry of Health Malaysia, Sibu, Sarawak, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vichard","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Sibu Hospital, Ministry of Health Malaysia, Sibu, Sarawak, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiza Hazima","family":"Aizulkamal","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging, Sibu Hospital, Ministry of Health Malaysia, Sibu, Sarawak, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vengkatarao","family":"Ramanaidu","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging, Sibu Hospital, Ministry of Health Malaysia, Sibu, Sarawak, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"key":"2025082622370231000_17.6.e261151.1","first-page":"4315","article-title":"Acute Scrotum in neonates: clinical, radiological and surgical correlation","volume":"87","author":"Zaki","year":"2019","journal-title":"Med J Cairo Univ"},{"key":"2025082622370231000_17.6.e261151.2","doi-asserted-by":"crossref","DOI":"10.1186\/s13052-019-0651-9","article-title":"Adrenal hemorrhage in newborn: how, when and Why- from case report to literature review","volume":"45","author":"Toti","year":"2019","journal-title":"Ital J Pediatr"},{"key":"2025082622370231000_17.6.e261151.3","first-page":"43","article-title":"Adrenal bleeding in neonates: report of 37 cases","volume":"53","author":"Demirel","year":"2011","journal-title":"Turk J Pediatr"},{"key":"2025082622370231000_17.6.e261151.4","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1002\/iju5.12495","article-title":"Neonatal adrenal hemorrhage presenting as an acute Scrotum: A case report on the rare presentation of right adrenal hemorrhage and contralateral left Scrotal Hematoma","volume":"5","author":"Okamoto","year":"2022","journal-title":"IJU Case Rep"},{"key":"2025082622370231000_17.6.e261151.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12887-022-03314-1","article-title":"Neonatal bilateral adrenal hemorrhage and adrenal insufficiency accompanied by Subgaleal Hematoma: a case report with brief review of literature","volume":"22","author":"Esslami","year":"2022","journal-title":"BMC Pediatr"},{"key":"2025082622370231000_17.6.e261151.6","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1590\/S1516-31802011000200011","article-title":"Scrotal Hematoma as a sign of adrenal hemorrhage in newborns","volume":"129","author":"Gon\u00e7alves","year":"2011","journal-title":"Sao Paulo Med J"},{"key":"2025082622370231000_17.6.e261151.7","first-page":"1","article-title":"Adrenal haemorrhage associated with Scrotal swelling in a neonate","volume":"10","author":"Kumar","year":"2022","journal-title":"IJNMR"},{"key":"2025082622370231000_17.6.e261151.8","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s40477-017-0248-3","article-title":"\u201cNeonatal adrenal hemorrhage presenting as \"acute Scrotum\" - 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