Scrotal hematocele
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At the time the article was created Ian Bickle had no recorded disclosures.
View Ian Bickle's current disclosuresAt the time the article was last revised Mostafa Elfeky had no recorded disclosures.
View Mostafa Elfeky's current disclosures- Haematocoele
- Scrotal haematocoeles
- Scrotal haematocoele
- Scrotal haematoceles
- Scrotal hematocele
- Scrotal hematoceles
- Hematocele
- Haematocele
Scrotal hematoceles are collections of blood within the scrotal sac, but outside of the testis.
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Pathology
A hematocele normally results from trauma to the scrotum, or on occasion following surgery. Some think that a varicocele is a risk factor for developing a hematocele 4.
Radiographic features
Ultrasound
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 hydrocele, which is anechoic, a hematocele is of increased echogenicity and often has septa within. If the ultrasonographic investigation is performed right after the event, a fresh hematocele can appear anechoic, though some turbulence will occasionally be seen within it.
Differential diagnosis
A clinical differential would be for a scrotal wall hematoma.
See also
Quiz questions
References
- 1. Proctor RD, Tung K. Persistent scrotal lesion. Br J Radiol. 2009;82 (983): 966-7. Br J Radiol (full text) - doi:10.1259/bjr/31160455 - Pubmed citation
- 2. Saez F, Descalzo MJ, Herrera B et-al. Hematocele secondary to rupture of an abdominoscrotal hydrocele. Arch. Esp. Urol.66 (9): 877-9. Pubmed citation
- 3. Chaudhary S, Bhullar JS, Subhas G et-al. Hematocele after laparoscopic appendectomy. JSLS. 2012;16 (4): 660-2. doi:10.4293/108680812X13517013316717 - Free text at pubmed - Pubmed citation
- 4. Sommers D, Winter T. Ultrasonography evaluation of scrotal masses. Radiol. Clin. North Am. 2014;52 (6): 1265-81. doi:10.1016/j.rcl.2014.07.014 - Pubmed citation
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