An uncommon cause of massive penoscrotal haematoma

Haematoma is a common complication of surgical operations. Haematoma of traumatic origin is often associated with severe and extensive injuries. In patients with disorders of blood coagulation, haematoma may occur even after trivial injuries. This paper aims to report a case of massive penoscrotal haematoma.

The case record of a haemophiliac with massive penoscrotal haematoma and relevant literature on the disease were reviewed.

A 43 year old haemophiliac who developed extensive penoscrotal haematoma following trivial injury to his left groin which had to be evacuated operatively and his haemostatic function stabilised with factor VIII concentrate. He developed secondary haemorrhage post operatively and had antibiotics and further transfusion of whole blood and factor VIII concentrate. His wounds healed and he was discharged after two months of hospitalisation. He was followed up in the out-patient clinic for six months without any further bleeding.

Operative evacuation of the haematoma was necessary to avoid the development of necrotising fascitis of the scrotum (Fournier's gangrene).