Scrotal haematocele

Dr Dan J Bell and Dr Ian Bickle et al.

Scrotal haematocoeles are collections of blood within the scrotal sac, but outside of the testis.

A haematocoele normally occurs following trauma to the scrotum, or on occasion following surgery. Some think that a varicocoele is a risk factor for developing a haematocoele 4.

Ultrasound is usually the sole imaging modality used, typically being first line for those with a scrotal swelling or pain following trauma to the scrotum. Unlike a hydrocoele which is anechoic, a haematocoele is of increased echogenicity and often has septa within.

A clinical differential would be for a scrotal wall haematoma.

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Article information

rID: 26153
Systems: Trauma, Urogenital
Synonyms or Alternate Spellings:
  • Haematocoele
  • Scrotal haematocoeles
  • Scrotal haematocoele
  • Scrotal haematoceles
  • Scrotal hematocele
  • Scrotal hematoceles
  • Haematocele

Cases and figures

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    Case 1
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    Case 2: haematocele with testicular rupture
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