Cases of usual ultrasound

When an ultrasound is a diagnosis A male newborn of 3700 g., born after 40 weeks’ gestation via a vaginal dystotic delivery, Apgar 8 and 10 to 1’and 5’, had a fracture of the right clavicle. After about 48 hours he was admitted to our department for jaundice and hematoma of the right hemiscrotum (Fig.1), with no pain, no other symptoms. Scrotal Doppler US showed a normal testicle size and shape, regularly vascularized, but modest collection of fluid, finely corpusculated and marked thickening of subcutaneous tissue. Abdomen US revealed a complex mass upper pole of the right kidney (2.8 cm), not vascularized, withinhomogeneous echogenicity (Fig.2). Ultrasonography had been sufficient to make the diagnosis of adrenal hemorrhage with hemorrhagic spreading at right hemiscrotum. Were not performed further investigations and a conservative treatment was chosen. Ultrasound monitoring showed progressive organization of the hematoma and complete resolution after about 40 days.