{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T20:44:17Z","timestamp":1788468257694,"version":"build-2803163510"},"reference-count":25,"publisher":"Springer Publishing Company","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatal Network"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>A<jats:sc>bstract<\/jats:sc><\/jats:p><jats:p>Adrenal hemorrhage (AH) is a relatively uncommon condition in newborns. It may be asymptomatic or may present with flank abdominal mass, anemia, jaundice, or rarely as scrotal bruising or hematoma. We report two cases of AH in neonates; the first presented with scrotal hematoma and the second with adrenal mass associated with hypertension and oliguria, primarily secondary to coincidental renal vein thrombosis. Diagnosis was confirmed by abdominal ultrasound. Patients were managed conservatively with clinical observation and by following hemoglobin and bilirubin levels closely. Both infants were discharged without surgical intervention after several days in the hospital. Clinicians should consider AH when a newborn presents with scrotal bruising or hematoma, unexplained anemia, unexplained jaundice, or flank abdominal mass. Timely ultrasonographic evaluation of both adrenal glands and testes in neonates with scrotal hematoma may spare infants from unnecessary surgical intervention because scrotal hematoma often raises the suspicion of testicular torsion.<\/jats:p>","DOI":"10.1891\/0730-0832.34.4.220","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T19:45:27Z","timestamp":1438890327000},"page":"220-226","source":"Crossref","is-referenced-by-count":6,"title":["Adrenal Hemorrhage in Neonates: Unusual Presentation"],"prefix":"10.1891","volume":"34","author":[{"given":"Samir Y.","family":"Alabsi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Layland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2015,1,1]]},"reference":[{"key":"2019091814350845000_34.4.220.1","first-page":"43","article-title":"Adrenal bleeding in neonates: report of 37 cases","volume":"53","year":"2011","journal-title":"Turk J Pediatr"},{"key":"2019091814350845000_34.4.220.2","doi-asserted-by":"publisher","DOI":"10.1177\/000992280104001002"},{"key":"2019091814350845000_34.4.220.3","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.200949"},{"key":"2019091814350845000_34.4.220.4","first-page":"23","article-title":"Asymptomatic neonatal adrenal hemorrhage","volume":"5","year":"1998","journal-title":"Clin Neonatol"},{"issue":"3","key":"2019091814350845000_34.4.220.5","first-page":"62","article-title":"Assessment of diagnostic methods in adrenal gland hemorrhage in neonates on the basis of own material from the years 2007\u20132011","volume":"76","year":"2011","journal-title":"Pol J Radiol"},{"key":"2019091814350845000_34.4.220.6","doi-asserted-by":"publisher","DOI":"10.1148\/131.2.453"},{"key":"2019091814350845000_34.4.220.7","first-page":"761","article-title":"Mechanisms of trauma during breech delivery","volume":"38","year":"1971","journal-title":"Obstet Gynecol"},{"key":"2019091814350845000_34.4.220.8","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.pedneo.2012.04.010","article-title":"Neonatal adrenal hemorrhage associated with scrotal hematoma: an unusual case report and literature review","volume":"53","year":"2012","journal-title":"Pediatr Neonatol"},{"key":"2019091814350845000_34.4.220.9","doi-asserted-by":"publisher","DOI":"10.1136\/adc.48.3.183"},{"key":"2019091814350845000_34.4.220.10","unstructured":"Mangurten HH , Puppala BL . 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