To the Editor.—
I describe herein a neonate who presented with a right scrotal mass due to unsuspected adrenal hemorrhage. Because of its anatomic location, the right adrenal is more susceptible to hemorrhage.
Report of a Case.—
A 3110-g boy was the product of a 36-week gestation of a 16-year-old gravida 1, para 0 black woman who had received regular prenatal care. Although mild bleeding late in the third trimester occurred, he seemed, by examination, to have a normal placenta. Clotting studies, electrolyte counts, and blood glucose levels were normal.At 36 hours of age, the baby stopped feeding and developed abdominal distension with vomiting. He had a rubbery-feeling mass in the right scrotum, but there were no abdominal masses. The only laboratory evidence of adrenal hemorrhage was a decrease in hematocrit from 0.46 (after delivery) to 0.34 (at 36 hours of age). Emergency surgical intervention was performed for probable