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Hematocele


Presentation

  • We report a 39-year-old male who presented non-traumatic testicular swelling and pain. Physical examination and sonography presented a suspicion of testicular tumor and both surgical exploration and inguinal orchiectomy were performed.[ncbi.nlm.nih.gov]
  • Awareness of this common presentation may obviate orchiectomy.[ncbi.nlm.nih.gov]
  • The case of a young male patient with penile laceration and right hematocele following blunt trauma to the genitalia is presented. Both testes were found ruptured at exploration and were repaired.[ncbi.nlm.nih.gov]
  • A 48-y-old male presented with swelling and discomfort in his right scrotum 11 d after he underwent laparoscopic appendectomy for acute appendicitis. Before the surgery, he had no scrotal swelling or inguinal hernia.[ncbi.nlm.nih.gov]
  • Hemorrhage from ectopic gastric mucosa is the most common presenting symptom of Meckel's diverticulum. Diverticular perforation, although rare, is a potentially life-threatening complication.[ncbi.nlm.nih.gov]
Intracranial Hemorrhage
  • hemorrhage Hyphema Subconjunctival hemorrhage torso Hemothorax Hemopericardium Pulmonary hematoma abdomen Gastrointestinal bleeding Haemobilia Hemoperitoneum Hematocele Hematosalpinx joint Hemarthrosis Edema Anasarca Angioedema / Lymphedema Exudate [en.wikipedia.org]
Scrotal Mass
  • Because hematocele may clinically and sonographically resemble a testicular tumor, the proper management of a complex multiseptated scrotal mass without obvious history suggestive of hematocele is surgical exploration and orchiectomy.[ncbi.nlm.nih.gov]
  • A 67 year-old male consulted our department for examination a painless left scrotal mass accompanied by a continuously high serum carbohydrate antigen 19-9 level (CA19-9, 563.2 IU/ml). The patient underwent radical orchiectomy oof the mass.[ncbi.nlm.nih.gov]
  • Abnormalities present at birth: Abnormalities of the testicles, penis or kidneys present at birth (congenital) may increase the risk of a scrotal mass and testicular cancer later in life.[medigoo.com]
  • Chronic hematoceles are rare scrotal masses. Possible causes most often include direct trauma of the scrotum, torsion, tumor and surgery.[ispub.com]
  • World J Urol 17:101–106 CrossRef PubMed Google Scholar Hamm B (1997) Differential diagnosis of scrotal masses by ultrasound.[doi.org]
Retrograde Ejaculation
  • ejaculation Postorgasmic illness syndrome v t e Disorders of blood flow Decreases Clots Thrombus Thrombosis Renal vein thrombosis Ischemia Brain ischemia Ischaemic heart disease large intestine: Ischemic colitis small intestine: Mesenteric ischemia Infarction[en.wikipedia.org]
Chronic Pelvic Pain Syndrome
  • pelvic pain syndrome Asymptomatic inflammatory prostatitis Benign prostatic hyperplasia Prostate cancer Seminal vesicle Seminal vesiculitis External Penis Balanoposthitis / Balanitis ( Balanitis plasmacellularis Pseudoepitheliomatous keratotic and micaceous[en.wikipedia.org]

Treatment

  • Optimal management involves early recognition and treatment of the abdominal source of bleeding. Elective repair of the communicating hydrocele/hematocele should follow.[ncbi.nlm.nih.gov]
  • The best routine treatment is to open freely the tunica as in the modern operation for the radical cure of hydrocele.[gluedideas.com]
  • Upon diagnosis proper treatment can be given. What is the recommended treatment for a small bleeding hole on the scrotum? It is not uncommon for a hematocele in this area to have ruptured. This is a collection of blood around the testicle.[justanswer.com]
  • The presence of a hematocele requires early surgical treatment.[ncbi.nlm.nih.gov]
  • Treatment: It is important to discuss your condition with your physician and talk with him/her about a treatment plan. Hematocele benefit from a holistic treatment approach.[medigoo.com]

Prognosis

  • When the extravasation is slight, or is well encapsulated, or is extra-peritoneal in character, the prognosis is favorable.[homeoint.org]

Etiology

  • Signs and Symptoms of Testicular Trauma Testicular pain, scrotal hematoma, soft tissue injuries depending on the etiology of testicular trauma.[urology-textbook.com]
  • The etiology of hematocele in our case was a previous perineal trauma.[ispub.com]
  • ETIOLOGY. — Hematocele is most apt to occur between the ages of twenty-five and thirty-five, when the generative organs are most active, but it has been known to occur in women who have passed the menopause.[homeoint.org]
  • Less common etiologies include motor vehicle accidents, falls, and straddle injuries.[emedicine.medscape.com]

Epidemiology

  • Epidemiology Frequency Testicular trauma is relatively uncommon. Blunt trauma accounts for approximately 85% of cases, and penetrating trauma accounts for 15%.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology The testis is enveloped by layers of white fibrous connective tissue called the tunica vaginalis and the tunica albuginea.[emedicine.medscape.com]

Prevention

  • The area should be kept clean and antiseptic creams can be used to prevent infection. A doctor can perform an examination to give definitive diagnosis. If it is a hematocele, measures can be taking to prevent it from forming again.[justanswer.com]
  • If a testicular tumor is found to be the cause of the bleeding, the entire testicle is generally removed to prevent the cancer from spreading to other parts of the body.[wisegeek.com]
  • Iced lotions or a small ice-cap may be applied to the scrotum in recent cases in order to prevent further extravasation. A cradle is necessary to keep off the weight of the bedclothes, and the bowels should be moved by a smart Saline purgative.[gluedideas.com]
  • If a testicular tumor is found to be the cause of the bleeding, the entire testicle is generally removed to prevent the cancer from spreading to other parts of the body.If surgery becomes necessary to treat the hematocele, it may take several weeks for[medigoo.com]
  • But little can be expected from the administration of remedies after the hematocele has occurred, but should recovery take place a recurrence may be prevented by giving such remedies as the constitutional symptoms of the patient may demand ; and indeed[homeoint.org]

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