Neonatal adrenal hemorrhage presenting as scrotal hematoma.

A neonate with hemorrhage of the right adrenal gland who presented with bilateral scrotal masses is described. The difficulty in establishing the diagnosis and ruling out testicular torsion is outlined. The differential diagnosis of scrotal swelling is listed. Adrenal hemorrhage can produce hemoperitoneum but this case is unique in that hemoperitoneum was not associated with signs of peripheral circulatory insufficiency and/or abdominal distension, and was manifested only by bilateral scrotal hematomas. The implication of these findings is emphasized.