[Chronic calcified hematocele. Case report]
Rosa Jiménez Yáñez1, Juan Antonio Gallego Sánchez, Luis Gónzalez Villanueva
1Servicio de Radiodiagnóstico, Hospital General Universitario de Elche, Elche, Alicante, España. rosajimenez@seram.org
Insights
Chronic hematoceles, rare scrotal masses, can present with increased size and pain. Imaging reveals complex features, and most cases resolve with conservative treatment, often associated with varicocele.
Area of Science:
- Urology
- Radiology
- Medical Imaging
Background:
- Chronic hematoceles are uncommon scrotal masses.
- Potential causes include trauma, torsion, tumors, and surgery.
Observation:
- A case of an elderly diabetic patient presenting with acute right hemiscrotal enlargement and pain is described.
- Computed tomography and sonographic findings were analyzed.
Findings:
- Sonographic examination revealed a complex, heterogeneous appearance with echogenic debris and septations.
- Varicocele was a frequent associated finding, possibly leading to vessel rupture from minor trauma.
Implications:
- This case highlights the diagnostic utility of imaging in evaluating chronic hematoceles.
- Conservative management is often effective, with spontaneous resolution being common.
Objective:
Chronic hematoceles are rare scrotal masses. Most of them include trauma, torsion, tumor, and surgery as possible causes. We describe the case of an old diabetic patient, who is attended for presenting a marked increase in size of the right hemiescrotum and pain.
Methods:
We described computed tomography and sonographic findings.
Results/Conclusions:
Frequently, a varicocele is an associated finding. Presumibly, minor trauma results in rupture of dilated vessels. In sonographic exploration, they have a more complex heterogeneous appearance with echogenic debris and septations. Most hematoceles spontaneously resolve with conservative therapy.
