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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.
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.
A clinical differential would be for a scrotal wall hematoma.
- 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