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 torsion 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.
Kreeftenberg
H G
HG
Department of Surgery, University Hospital Groningen, The Netherlands.
Zeebregts
C J
CJ
Tamminga
R Y
RY
de Langen
Z J
ZJ
Zijlstra
R J
RJ
D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000740:Anemia / Q000209:etiology*; D005832:Genital Diseases, Male / Q000209:etiology*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D009447:Neuroblastoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012611:Scrotum