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Pelvis » Scrotum And Testicles
Scrotal sac hematoma
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Author(s) :
Chaitali Shah, FRCR
Presentation These are serial ultrasound scans of a young man with a history of trauma to the scrotum.
Caption: Transverse scan of the scrotum
Description: Both the testes appear normal. The right hemiscrotum shows the presence of complex, scrotal sac fluid compatible with the diagnosis of a hematocele.
Caption: Transverse view of the right hemi-scrotum
Description: The complex right scrotal sac fluid collection is seen in this image. The visualized testis appears normal.
Caption: Sagittal scan of the scrotum
Description: A small epididymal head cyst is identified. The complex right hematocele is noted again.
Caption: Follow up scrotal scan after 10 days
Description: The right sided hematocele now appears larger with more debris [due to clotted blood] and areas of fine septations. This is compatible with an evolving hematocele.
Caption: Follow up transverse testicular ultrasound
Description: The fine septations representing fibrin strands within the right hematocele are noted here.
Caption: Follow up color Doppler scan of the right hemiscrotum
Description: The testis and the epididymis demonstrate normal blood flow. The epididymal head cyst is also noted as seen in the previous studies. No areas of flow are seen within the hematocele.
Differential Diagnosis Right scrotal sac hematoma in different stages of evolution
Final Diagnosis Right scrotal sac hematoma in different stages of evolution
Follow Up This hematocele was drained and subsequently resolved completely.
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