Intra-testicular hematoma

Case contributed by Dr Fazel Rahman Faizi

Presentation

Severe left scrotal pain after a blunt testicular trauma

Patient Data

Age: 25 years
Gender: Male
Ultrasound

Ovoid-shaped heterogeneously hypoechoic area devoid of vascularity in the lower pole of the left testis. No convincing breach of the tunica albuginea. No evidence of hematocele. The contralateral testis appears normal. Normal appearances of the epididymi bilaterally.

Case Discussion

In the trauma setting, the features are consistent with intra-testicular hematoma. The differential diagnosis is seminoma. However, the history of blunt testicular trauma, acute severe scrotal pain, inhomogeneity and lack of vascularity of the lesion make this possibility very less likely.

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Case information

rID: 68600
Published: 9th Jun 2019
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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