Neonatal scrotal haematoma: mimicker of neonatal testicular torsion.
OBJECTIVE
To describe the clinical features of neonatal scrotal haematoma and distinguish them from those of neonatal testicular torsion.


METHODS
Five neonates presenting with an acute scrotum and initial diagnosis of neonatal testicular torsion were found to have neonatal scrotal haematoma. In one case the diagnosis was surgical and in four subsequent cases the diagnosis was by colour Doppler ultrasonography, and surgery was avoided. Four of the five children had risk factors associated with neonatal scrotal haematoma, including bleeding diathesis, birth trauma and high birth weight.


CONCLUSIONS
The importance of including haematoma in the differential diagnosis of the acute neonatal scrotum is emphasized, as is the value of contemporary Doppler ultrasonography in making this diagnosis.
Diamond
D A
DA
Department of Urology, Children's Hospital, Harvard Medical School, Boston, MA 02115, USA. David.Diamond@tch.harvard.edu
Borer
J G
JG
Peters
C A
CA
Cilento
B G
BG
Sorcini
A
A
Kaefer
M
M
Paltiel
H J
HJ
D003937:Diagnosis, Differential; D005832:Genital Diseases, Male / Q000000981:diagnostic imaging*; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D015999:Multivariate Analysis; D012611:Scrotum / Q000000981:diagnostic imaging*; D013086:Spermatic Cord Torsion / Q000000981:diagnostic imaging; D018608:Ultrasonography, Doppler