Presented at the ESPU, Budapest 2002
Neonatal scrotal haematoma: mimicker of neonatal testicular torsion
Article first published online: 16 APR 2003
Volume 91, Issue 7, pages 675–677, May 2003
How to Cite
Diamond, D.A., Borer, J.G., Peters, C.A., Cilento, B.G., Sorcini, A., Kaefer, M. and Paltiel, H.J. (2003), Neonatal scrotal haematoma: mimicker of neonatal testicular torsion. BJU International, 91: 675–677. doi: 10.1046/j.1464-410X.2003.04201.x
- Issue published online: 16 APR 2003
- Article first published online: 16 APR 2003
- Accepted for publication 5 February 2003
- acute scrotum;
To describe the clinical features of neonatal scrotal haematoma and distinguish them from those of neonatal testicular torsion.
PATIENTS AND 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.
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.