Scrotal hematoma with pseudo-aneurysm after transfemoral catheterization

Transfemoral catheterization continues to be a safe and popular approach for the evaluation of cardiac and limb ischemia. In spite of the use of vascular closing devices, complications can still arise, and rarely, scrotal hematoma with groin swelling in males, which could cause significant morbidity and possibly mortality in those patients at risk. Understanding the different presentations and different ways of management of scrotal hematoma could potentially prevent significant urological complications and exsanguination. This is a case report of a patient who suffered this rare complication that can be used as a comparison with the other few reported cases.