Scrotal hematoma, anemia, and jaundice as manifestations of adrenal neuroblastoma in a newborn

Clinically, a neuroblastoma presents mostly as an abdominal mass. Within the tumor, bleeding can be present, sometimes extending in to its surroundings. This case report describes a neuroblastoma, presenting as scrotal hematoma in a newborn boy, which initially raised the suspicion of a torsio testi...

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Published inJournal of pediatric surgery Vol. 34; no. 12; pp. 1856 - 1857
Main Authors Kreeftenberg, H.G, Zeebregts, C.J.A.M, Tamminga, R.Y.J, de Langen, Z.J, Zijlstra, R.J
Format Journal Article
LanguageEnglish
Published Philadelphia, PA Elsevier Inc 01.12.1999
Elsevier
Subjects
Adrenal Gland Neoplasms - complications
Adrenal Gland Neoplasms - diagnosis
Adrenal Gland Neoplasms - surgery
Adrenals. Adrenal axis. Renin-angiotensin system (diseases)
Anemia - etiology
Biological and medical sciences
Endocrinopathies
Genital Diseases, Male - etiology
Hematoma - etiology
Humans
Infant, Newborn
Magnetic Resonance Imaging
Male
Malignant tumors
Medical sciences
Neuroblastoma - complications
Neuroblastoma - diagnosis
Neuroblastoma - surgery
Scrotum
Scrotal hematoma
neuroblastoma
adrenal hemorrhage
ultrasonography
Human
Jaundice
Scrotal diseases
Nervous system diseases
Adrenal glands
Anemia
Cardiovascular disease
Hemopathy
Malignant tumor
Neuroblastoma
Vascular disease
Case study
Scrotum
Symptomatology
Newborn
Adrenal gland diseases
Hematoma
Autonomic neuropathy
Male genital diseases
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Summary:Clinically, a neuroblastoma presents mostly as an abdominal mass. Within the tumor, bleeding can be present, sometimes extending in to its surroundings. This case report describes a neuroblastoma, presenting as scrotal hematoma in a newborn boy, which initially raised the suspicion of a torsio testis. In this patient, the bleeding descended through the subcutaneous and muscular tissue into the scrotum. In addition, anemia and jaundice were marked features. This clinical manifestation of a neuroblastoma has not been reported previously. Ultrasonography is advised as the first diagnostic step to exclude retroperitoneal origin of the bleeding. Magnetic resonance imaging and meta-iodobenzyl guanidine scanning were helpful tools in the final diagnostic workup.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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ISSN:0022-3468
1531-5037
DOI:10.1016/S0022-3468(99)90331-7