haemoperitoneum,4 and, more recently, in association with adrenal haemorrhage (B Karpe, T Nybonde, 35th international congress of British Association of Paediatric Surgeons, Athens, 1988).The sign of inguinal bruising suggests blood within the spermatic cord, and leakage presumably occurs at the origin of the external spermatic fascia from the external oblique aponeurosis at the superficial inguinal ring.These clinical features suggest that the testis will remain viable, whereas in neonatal torsion a necrotic testis is almost invariably found.'An operation should still be done to establish the diagnosis and drain the haematoma.I Btirge DMI.Neonatal testicular torsion and infarction: aetiology and manage-
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Vipulendran et al. (1989) studied this question.
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