Adrenal Haemorrhage Associated with Scrotal Swelling in a Neonate

Acute scrotal swelling in a neonate is a serious condition that requires prompt evaluation. It is important to salvage the testis, if it is involved. Scrotal haematoma also results in scrotal swelling. Adrenal haemorrhage has been associated and may at times be the causation of scrotal swelling. This case report is about a neonate who developed scrotal swelling at 16 hours of life. It required scrotal exploration, because ultrasonography could not be done, and testicular torsion was a close differential diagnosis. Adrenal haemorrhage was found associated with it, emphasising the fact that adrenals should always be assessed if the scrotal haematoma is diagnosed. Scrotal swellings in a neonate should be considered an emergency and promptly worked up if facilities exist. A scrotal exploration may sometimes be required to rule out testicular torsion.