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. PATIENTS AND METHODS Five neonates presenting with an acute scrotum and initial diagnosis of neonatal testicular torsion were found to have neonatal scrotal haema...

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Bibliographic Details
Published in:BJU international 2003-05, Vol.91 (7), p.675-677
Main Authors: Diamond, D.A., Borer, J.G., Peters, C.A., Cilento, B.G., Sorcini, A., Kaefer, M., Paltiel, H.J.
Format: Article
Language:English
Subjects:
acute scrotum
Biological and medical sciences
Diagnosis, Differential
Genital Diseases, Male - diagnostic imaging
Gynecology. Andrology. Obstetrics
haematoma
Hematoma - diagnostic imaging
Humans
Infant, Newborn
Male
Male genital diseases
Medical sciences
Multivariate Analysis
neonate
Non tumoral diseases
Scrotum - diagnostic imaging
Spermatic Cord Torsion - diagnostic imaging
torsion
Ultrasonography, Doppler
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Summary:OBJECTIVE 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. 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.
ISSN:1464-4096
1464-410X
DOI:10.1046/j.1464-410X.2003.04201.x