Neonatal adrenal haemorrhage presenting as scrotal haematoma

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 …