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A 3700 g male vaginal delivery was complicated by shoulder dystocia requiring intubation at birth and had evidence of multisystem hypoxic ischaemic insult. Six hours later, a bluish discolouration and swelling appeared in the left scrotum (figure 1). Scrotal ultrasound showed a left scrotal haematoma with normal testis. Abdominal ultrasound revealed a well-defined heterogenous mass with a necrotic centre on the supero-medial pole …
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