Hematocele: Difference between revisions
| Line 18: | Line 18: | ||
*Testicular rupture | *Testicular rupture | ||
*Scrotal wall hematoma | *Scrotal wall hematoma | ||
{{Testicular DDX}} | |||
==Evaluation== | ==Evaluation== | ||
Revision as of 20:07, 4 June 2020
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
- Pyocele
- Hydrocele
- Spermatocele
- Testicular torsion
- Testicular malignancy
- Orchitis
- Epididymitis
- Fournier gangrene
- Testicular rupture
- Scrotal wall hematoma
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