Scrotal haematocele
Citation, DOI, disclosures and article data
Citation:
Bickle I, Elfeky M, Weerakkody Y, et al. Scrotal haematocele. Reference article, Radiopaedia.org (Accessed on 29 Mar 2025) https://doi.org/10.53347/rID-26153
rID:
26153
Article created:
Disclosures:
At the time the article was created Ian Bickle had no recorded disclosures.
View Ian Bickle's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Mostafa Elfeky had no recorded disclosures.
View Mostafa Elfeky's current disclosures
Revisions:
12 times, by
10 contributors -
see full revision history and disclosures
Systems:
Tags:
Synonyms:
- Haematocoele
- Scrotal haematocoeles
- Scrotal haematocoele
- Scrotal haematoceles
- Scrotal hematocele
- Scrotal hematoceles
- Hematocele
- Haematocele
Scrotal haematoceles are collections of blood within the scrotal sac, but outside of the testis.
On this page:
Pathology
A haematocele normally results from trauma to the scrotum, or on occasion following surgery. Some think that a varicocele is a risk factor for developing a haematocele 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 haematocele is of increased echogenicity and often has septa within. If the ultrasonographic investigation is performed right after the event, a fresh haematocele can appear anechoic, though some turbulence will occasionally be seen within it.
Differential diagnosis
A clinical differential would be for a scrotal wall haematoma.
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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