LAUSR

A male infant is born at 39 weeks' gestation via vacuum-assisted vaginal delivery due to fetal deceleration to a 37-year-old gravida 3, para 2 woman. The woman’s pregnancy had been uncomplicated. Antenatal ultrasonography findings had been normal. The infant’s birthweight is 3,755 g. The newborn was given a vitamin K injection at the time of birth. He is sent to the normal nursery with his mother in good condition; at 8 hours after birth, the mother notes that the infant has right scrotal swelling. He is transferred to the NICU for further evaluation and treatment. The infant is stable on room air, with a temperature of 36.8°C, heart rate of 150 beats/min, respiratory rate of 55 breaths/min, and oxygen saturation of 94%. On physical examination, he has no pallor and displays no irritability. The examination shows no evidence of skin bleeding or stigmata of congenital infection. There is no significant organomegaly on abdominal examination, and the rest of the systemic examination findings are within normal limits. Nontender bilateral scrotal swelling is noted to be more pronounced on the right (Fig 1), the swelling did not transilluminate, and the left testis is palpable. No bruising is seen on the groin initially. Abdominal examination findings are normal. There is no evidence of trauma. Figure 1. Infant with bilateral scrotal hematoma, which is more pronounced on the right, 2 days after birth. The differential diagnosis of acute scrotal …