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  • Title: Scrotal hematoma, anemia, and jaundice as manifestations of adrenal neuroblastoma in a newborn.
    Author: Kreeftenberg HG, Zeebregts CJ, Tamminga RY, de Langen ZJ, Zijlstra RJ.
    Journal: J Pediatr Surg; 1999 Dec; 34(12):1856-7. PubMed ID: 10626873.
    Abstract:
    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.
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