Scrotal haematocele

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

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.

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.

A clinical differential would be for a scrotal wall hematoma.

Ultrasound - testicular and scrotal

Article information

rID: 26153
Synonyms or Alternate Spellings:
  • Hematocele
  • Haematocoele
  • Scrotal haematocoeles
  • Scrotal haematocoele
  • Scrotal haematoceles
  • Scrotal hematocele
  • Scrotal hematoceles
  • Haematocele

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Cases and figures

  • Case 1
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  • Case 2: haematocele with testicular rupture
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