Hematocele: Difference between revisions
(Created page with "==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=...") |
No edit summary |
||
| Line 10: | Line 10: | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
* | *Pyocele | ||
*[[Hydrocele]] | *[[Hydrocele]] | ||
*Spermatocele | *Spermatocele | ||
| Line 17: | Line 17: | ||
*[[Orchitis]] | *[[Orchitis]] | ||
*[[Epididymitis]] | *[[Epididymitis]] | ||
*[[Fournier | *[[Fournier gangrene]] | ||
*Testicular rupture | *Testicular rupture | ||
*Scrotal wall hematoma | *Scrotal wall hematoma | ||
Revision as of 21:57, 11 October 2017
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
- Recent blunt GU trauma
- Absence of fever
- Scrotal swelling
- Scrotal pain
Differential Diagnosis
- Pyocele
- Hydrocele
- Spermatocele
- Testicular torsion
- Testicular malignancy
- Orchitis
- Epididymitis
- Fournier gangrene
- Testicular rupture
- Scrotal wall hematoma
Evaluation
- Scrotal ultrasound with doppler
- Positive cremasteric reflex
- Poor transillumination of scrotal sac
Management
- Urology consultation if related to acute trauma
Disposition
- If isolated hematocele, likely outpatient follow-up