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Results for “HEMATOCELE”

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At least 19 recordsLinked to original sources

PubMed1989

[A case of chronic huge hematocele].

A case of chronic hematocele with calcification of the tunica vaginalis is reported. A 65-year-old male was referred to our clinic because of painless swelling of left scrotal contents. Examination revealed a heavy hard mass, 18 cm in diameter, in left scrotum, which started to enlarge 5 years earlier. He had a history of having been kicked by a cow about 10 years previously. The scrotum did not transmit light. Ultrasonography demonstrated hematocele with calcified shell. As it was impossible to exclude a testicular tumor completely, we performed high orchiectomy. Upon opening the mass an old hematocele was formed, which contained old brownish black clotted blood and a normal testis. The thick shell of the mass was found to be a calcified tunica vaginalis. Only 2 cases of chronic hematocele have been reported in the Japanese literature.

Aged↗

PubMed2000

Scrotal hematocele as an unusual presentation of blunt abdominal trauma in three male infants.

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. The communicating hematoceles were the result of hemoperitoneum due to splanchnic hematoma.

Abdominal Injuries↗

PubMed1991

Chronic hematocele complicating renal failure and hemodialysis.

A patient with a recent history of genitourinary tuberculosis, chronic renal failure and hemodialysis presented with a slow growing scrotal swelling that had enlarged during the last 3 years. Physical examination and sonography were suspicious for testicular tumor, and surgical exploration and inguinal orchiectomy were performed. Ultimately the mass proved to be a chronic hematocele, a rare complication of uremic coagulopathy and hemodialysis. 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. Awareness of this common presentation may obviate orchiectomy.

Adult↗

PubMed1986

The communicating hematocele: an unusual presentation for blunt splenic trauma.

The communicating hematocele is an unusual scrotal disorder that is rarely anticipated. Surgical exploration for an enlarging hydrocele and an abnormal scrotal sonogram in a 19-month-old boy revealed a communicating hematocele. Further evaluation demonstrated a fractured spleen. The association between a patent processus vaginalis and blunt abdominal trauma in the pathogenesis of the communicating hematocele is discussed.

Hematocele↗

PubMed1991

[A case of idiopathic chronic scrotal hematocele].

A case of chronic scrotal hematocele is reported. A 63-year-old male first noticed the painless swelling of his left scrotal contents about 30 years before he visited our clinic on September 16, 1987. Examination revealed a hard mass, 10 x 8 cm in diameter, in the left scrotum. The scrotum did not transmit light. Since it was impossible to exclude testicular tumor completely, we performed left high orchiectomy. The extracted mass contained old brownish black clotted blood and a normal testis. Histopathological examination revealed that the hematocele showed a dense, fibrous wall with hyalinization. Six cases of chronic scrotal hematocele including our case have been reported in the Japanese literature.

Chronic Disease↗

PubMedDate not supplied

[Hematocele of the tunica vaginalis].

Hematocele in the tunica vaginalis, specially non-traumatic or in previously coagulated cases, is an issue almost ignored by the present urological literature. We have reviewed hematoceles due to the finding of four non-traumatic hematoceles, highlighting the difficulties of a preoperative diagnosis.

Adult↗

PubMed1988

The pathological, ultrasonographic and computerized tomographic characteristics of chronic hematocele.

We report a case of a chronic hematocele and describe its characteristics. The specific pathological lesion of a chronic hematocele consists of several neovascular formations covered by layers of fibrin. These lesions give characteristic ultrasonic and computerized tomographic images, consisting of several sharply circumscribed small spherical areas of soft tissue. When correctly interpreted before the initiation of surgical treatment, these images will obviate an orchiectomy, which is not always necessary.

Aged↗

PubMed1988

Value of early operation in blunt testicular contusion with hematocele.

The use of ultrasound for evaluation of blunt testicular injury with hematocele allows contusion to be differentiated from rupture, and some authors advocate reserving surgical management for rupture. Our experience with the conservative management of 20 men with testicular contusion and hematocele was not encouraging. Of the patients 8 (40 per cent) required delayed exploration that involved orchiectomy in 3 (15 per cent) because of unresorbed hematoma or infection despite antibiotic use. In contrast, early surgical exploration in 19 patients reduced the morbidity and duration of disability, and resulted in an orchiectomy rate of 0.

Contusions↗

PubMed1986

Traumatic hematocele: association with rupture of the testicle.

Ten patients with hematoceles associated with blunt trauma have been seen during the last 4 years. In 80 per cent of the cases the hematocele was caused by rupture of the testicle. Prompt early exploration, adequate débridement, primary repair of the tunical laceration and Penrose drainage resulted in a salvage rate of 75 per cent.

Hematocele↗

PubMed1999

Unilateral traumatic hematocele--an unusual presentation of bilateral testicular rupture.

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. The value of early surgical intervention in scrotal trauma is reiterated and indications for bilateral testicular exploration in cases of unilateral traumatic hematocele are suggested.

Adult↗

PubMed1983

Sonographic findings in clinically unsuspected acute and chronic scrotal hematoceles.

Three patients with scrotal swelling for 2 days, a year, and many years, respectively, were shown ultimately to have hematoceles even though their clinical history and physical findings were atypical. Contact B-scans of these lesions all showed a basically anechoic mass traversed by thick irregular septations. The septations in one acute case decreased in size and number over 10 days. Hematocele should be considered in the differential diagnosis when sonographic ultrasound studies of a scrotal swelling reveal a multicystic mass even if the history and physical findings are more compatible with neoplasm.

Diagnosis, Differential↗

PubMedDate not supplied

Inguinoscrotal hematocele of the newborn.

Neonatal inguinoscrotal hematocele is a very rare disease of the first few days of life. The cause of this pathology is thought to be related with the umbilical plastic clamp, with an incorrect clamping technique or with the infant's lying over the clamp. 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.

Hematocele↗

PubMed2000

Communicating hematocele in children following splenic rupture: diagnosis and management.

Acute hematocele is commonly associated with direct testicular trauma. Blood within the tunica vaginalis may infrequently accompany blunt abdominal injury in the presence of a communicating hydrocele. Optimal management involves early recognition and treatment of the abdominal source of bleeding. Elective repair of the communicating hydrocele/hematocele should follow. We report 2 cases of boys with scrotal swelling due to communicating hematoceles. Both cases were associated with a patent processus vaginalis and splenic laceration secondary to blunt trauma.

Adolescent↗

PubMed2003

A case of organized scrotal hematocele with high serum CA19-9 level.

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. The histopathological diagnosis was an organized hematocele, and left testicular tissue was found in the cyst wall. There was no evidence of malignancy in the cyst wall or cyst contents, and immunohistochemical analysis showed no CA19-9-positive cells. However, the CA19-9 level lowered to the normal range immediately after surgery. The patient's CA19-9 level has remained normal, with no recurrence of tumor to date. Considering the clinical course, we suspected the resected mass to have been the cause of the high serum CA19-9 level, and to our knowledge, this is the first case report of organized hematocele in the scrotum with a high CA19-9 level.

Aged↗

PubMed1992

[A case of chronic scrotal hematocele and review of the literature].

A 38-year-old man visited our hospital because of swelling of left scrotal content. He had no history of trauma of scrotum, fever, pain or dysuria. Physical examination revealed a tumor larger than a fist in the left scrotum. Ultrasonography revealed an echogenic mass with echolucent area in the scrotum. Surgical extirpation of the left scrotal tumor was performed under the diagnosis of left testicular tumor. The mass was encapsulated by a white fibrous membrane and was 700 g in weight. The tumor contained 200 ml of dark brown pus-like material. Histological examination revealed deposition of cholesterine crista and infiltration of lymphocyte in tunica vaginalis with extremely atrophic testis, destructive spermatogenesis and atrophic epididymis. Twenty one cases of chronic scrotal hematocele have been reported in the Japanese literature. The age of the patients reported was 38 to 77 years old with a mean age of 65 years. Orchiectomy was done under the diagnosis of testicular tumor in 20 of the 21 cases. Our case was thought to be of an idiopathic chronic scrotal hematocele. The disease should be considered even in the absence of a particular cause such as injury and inflammation of scrotal content.

Adult↗

PubMed1996

[A case of chronic scrotal hematocele].

We report a case of chronic scrotal hematocele. A 94-year-old man complained of urine retention and a painless mass in the right scrotum. He had no history of trauma at the perinium. Tumor markers such as human chorionic gonadotropin, alpha fetoprotein and carcinoembryonic antigen were within normal limits. A transillumination test was negative. A right high orchiectomy was carried out after admission with the diagnosis of suspicion testicular cancer. The extracted mass measured 85 x 60 x 75 mm and contained old brownish black blood. The right testis was located separately from the mass and had a normal appearance. Microscopic examination revealed depositions of cholesterin crystals characteristic of chronic hematocele.

Aged↗

PubMed2000

Communicating hematocele in children following splenic rupture: diagnosis and management

Journal Article↗

PubMed1995

[A case of chronic scrotal hematocele].

A 60-year-old man visited our hospital because of a painless swelling of the left scrotal content which enlarged gradually for these five years. He had no history of trauma at the perineum. Tumor markers such as HCG, AFP and CEA were within normal limits. Left high orchiectomy was carried out after the admission under the diagnosis of suspicious testicular cancer. The resected mass, 16.5 x 12.5 x 9.5 cm in diameter and 900 g in weight, was encapsulated within the tunica vaginalis by a fibrous membrane and contained about 300 ml of reddish black liquid. The normally-appearing left testis was located separately from the mass. Microscopic examination revealed depositions of cholesterine crista in the wall, which are characteristic for a chronic hematocele.

Chronic Disease↗