Background: Idiopathic hemoperitoneum in the newborn is an entity very rarely encountered in clinical practice.

Case Presentation: A case of scrotal hemorrhage (SH) associated with intrabdominal hemorrhaging and acute anemia is presented. Indications for early surgery included a massive scrotal hematoma, rapid onset of severe anemia, and unknown etiology.

Conclusion: Clinical and diagnostic approaches in a case of neonatal scrotal hematoma should be given careful consideration as abdominal in origin, and a pre-operative computed tomography (CT) scan or magnetic resonance image (MRI) in addition to an abdominal/scrotal ultrasound should be added as part of the diagnostic work-up.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507181PMC
http://dx.doi.org/10.1186/s13052-021-01161-xDOI Listing

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