Neonatal inguinoscrotal hematocele

Neonatal inguinoscrotal lesion, or hematocele of neonates, is attributed to trauma from the plastic clamp used to ligate the umbilical cord immediately after delivery. The pathogenesis is thought to be related to two factors: incorrect clamping technique, in which the clamp is eccentric or too distal, and the infant's position, lying over the clamp. This is a rare event that usually appears on the 2nd day of life, with very few reports recorded in the literature. The lesion does not have any complications, but may be easily confused with testicular torsion. We present two cases and review the literature.