Edit concept Question Editor Create issue ticket

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]
  • Testicle exploration shows a mass, and ultrasonography is very helpful for screening of hematocele, but presents some difficulties to its final diagnosis (2).[scielo.br]
  • Three infants presented with bluish discoloration and swelling of the scrotum with no history of scrotal trauma. Sonography revealed unilateral hematoceles in 2 cases and bilateral hematoceles in the third. All 3 infants had intact testes.[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]
Epistaxis
  • […] atrophy of testis Bleeding Disorder Due To P2rx1 Defect Blood Loss, Surgical Circumvallate Placenta Syndrome cryptorchidism Ecchymosis Epistaxis Exsanguination Eye Hemorrhage Gastrointestinal Hemorrhage granulomatous orchitis hemarthrosis hematocele of[rgd.mcw.edu]
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]
  • Key words: testis; hematocele; magnetic resonance imaging INTRODUCTION Differential diagnosis of a scrotal mass includes inflammatory conditions, malignant tumors and traumatic lesions including hematomas.[scielo.br]
  • […] hematocele mimicking a mesothelioma of the tunica vaginalis testis. ( 30116715 ) 2018 2 Idiopathic hematocele in a patient receiving peritoneal dialysis. ( 27178275 ) Niwa N...Mizuno R 2017 3 The strange case of a hematocele mistaken for a neoplastic scrotal[malacards.org]
Testicular Mass
  • Ultrasonography showed an extra testicular mass with solid hyperechoic areas separated by irregular septations, suggesting an abscess or hematocele ( Figure-1 ).[scielo.br]

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]
  • The presence of a hematocele requires early surgical treatment.[ncbi.nlm.nih.gov]
  • Surgical treatment is not necessary as long as testicular torsion is excluded. In this report, three cases of inguinoscrotal hematocele diagnosed at surgical exploration in our clinic are reported and the literature reviewed.[ncbi.nlm.nih.gov]
  • When correctly interpreted before the initiation of surgical treatment, these images will obviate an orchiectomy, which is not always necessary.[ncbi.nlm.nih.gov]

Etiology

  • The etiology of the hematocele formation in our patient is unknown. Hematocele is difficult to diagnose preoperatively because its symptoms may mimic cysts or neoplasms.[scielo.br]
  • Signs and Symptoms of Testicular Trauma Testicular pain, scrotal hematoma, soft tissue injuries depending on the etiology of testicular trauma.[urology-textbook.com]

Prevention

  • To prevent recurrence following surgical drainage, a drain may be left at the surgical site. Coelom[en.wikipedia.org]
  • 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]
  • Correct management includes early recognition and complete evacuation of the hematoma to avoid testicular compression (2), preventing epididymo-orchitis, abscess formation and necrosis, as unresorbed hematocele can eventually be infected.[scielo.br]
  • 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]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!