Hematocele: Difference between revisions
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==Background== | ==Background== | ||
[[File:Gray1144.png|thumb|Scrotal anatomy]] | |||
[[File:Figure 28 01 02.jpg|thumb|Scrotal anatomy]] | [[File:Figure 28 01 02.jpg|thumb|Scrotal anatomy]] | ||
*A collection of blood outside of the testicle within the scrotal sac (in the tunica vaginalis) | *A collection of blood outside of the testicle within the scrotal sac (in the tunica vaginalis) | ||
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==Clinical Features== | ==Clinical Features== | ||
[[File:Hemoscrotum.jpg|thumb|Massive hemoscrotum (scrotal hematoma) which occurred as a complication of inguinal hernia repair. The scrotum was explored surgically, and a drain was left behind (seen on the right thigh).]] | |||
*Scrotal pain/swelling | *Scrotal pain/swelling | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Testicular DDX}} | |||
==Evaluation== | ==Evaluation== | ||
[[File:Scrotal Doppler ultrasonography of hematocele.jpg|thumb|Scrotal ultrasonography of a hematocele, a couple of weeks after appearance, as a fluid volume with multiple thick septations. The hematocele displays no blood flow on Doppler ultrasonography. A pyocele has a similar appearance, but was excluded by lack of inflammation.]] | |||
*Scrotal ultrasound with doppler | *Scrotal ultrasound with doppler | ||
Latest revision as of 06:58, 6 January 2022
Background
- A collection of blood outside of the testicle within the scrotal sac (in the tunica vaginalis)
- Most commonly caused by trauma or surgery
Clinical Features
- Scrotal pain/swelling
Differential Diagnosis
Testicular Diagnoses
- Scrotal cellulitis
- Epididymitis
- Fournier gangrene
- Hematocele
- Hydrocele
- Indirect inguinal hernia
- Inguinal lymph node (Lymphadenitis)
- Orchitis
- Scrotal abscess
- Spermatocele
- Tinea cruris
- Testicular rupture
- Testicular torsion
- Testicular trauma
- Testicular tumor
- Torsion of testicular appendage
- Varicocele
- Pyocele
- Testicular malignancy
- Scrotal wall hematoma
Evaluation
- Scrotal ultrasound with doppler
Management
- Supportive care
Disposition
- If isolated hematocele, likely outpatient follow-up