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Neonatal adrenal haemorrhage presenting as scrotal haematoma
  1. Sok-Leng Kang1,
  2. Samudra Mukherjee1,2,
  3. Palaniappan Sashikumar1,
  4. Nawfal Sharief1,2
  1. 1Neonatal Intensive Care Unit, Basildon and Thurrock University Hospital NHS Foundation Trust, Basildon, UK
  2. 2Department of Paediatrics, Basildon and Thurrock University Hospital, Nethermayne, Basildon, UK
  1. Correspondence to Dr Samudra Mukherjee, Department of Paediatrics, Basildon and Thurrock University Hospital, Nethermayne, Basildon SS16 5NL, UK; samudra{at}

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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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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.