Presentation
Patient fell with his bike and was admitted to the ER for a facial wound. After wound care he returned home. There he noticed that his left inguinoscrotal region was swollen. He returned to the ER. Patient was send to the radiology department for an ultrasound to exclude an inguinal hernia.
Patient Data
Ultrasound showed a big heterogeneous hyperechogenic mass in the left inguinoscrotal region. Because of the substantial size (>10 cm), the abdominal probe had to be used for adequate assessment. The mass appeared to be subcutaneous and not in the inguinal canal. The testis appeared to be normal. No clear active bleeding was visualized.
There is a big subcutaneous hematoma in the left inguinoscrotal region, with rightsided deviation of both testes.
In the arterial phase, there is a small blush of contrast, increasing in the venous phase: active arterial bleeding.
There are no intra-abdominal abnormalities.
Case Discussion
The patient was transferred to the operating room where the urologist performed surgery to coagulate the bleeding arterial branch.
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