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Acute scrotum constitutes the most common urological emergency secondary to spermatic cord torsion, testicular trauma, orchiepididymitis and hernias. We report a very rare case of unique traumatic spermatic cord hematoma following scrotum injury occurred during a football match. Clinical exam showed an increased volume of the left spermatic cord; t...
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... a football match 3 hours before. Clinical exam exclusively showed an increased volume of the left spermatic cord, moreover both testes were normal; the CDU demonstrated a decreased telediastolic velocity (VTD) of the left intratesticular artery and a large hyperechoic area that from the internal abdominal ring reached the upper pole of the testis (Fig. 1). The clinical picture suggested the presence of a large spermatic cord hematoma that was in charge of initial testicular ischemia, therefore for the persistence of pain the patient underwent sur- gical exploration: no active bleeding was found, the spermatic cord appeared congested, compressed and stretched by a large hematoma; the ...
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Ectopic adrenocortical tissue is a clinical finding which has been reported in various locations, such as kidney, female genital tract and supradiaphragmatic region. It is occasionally seen in spermatic cord of pediatrics specially. The simultaneous occurrence with testicular torsion has not been reported. Here we describe a one-month old infant wi...
Citations
... Spermatic cord avulsion secondary to blunt inguinal trauma is a very infrequent event with only five cases of blunt spermatic cord injury reported over the last 50 years. [3][4][5][6][7] Rabkin et al. reported a 19-year-old patient, with a groin swelling secondary to an inguinal trauma which was a traumatic aneurysm of the spermatic artery 4 ; Gordon et al. presented the case of a 22-year-old man who suddenly increased the intraabdominal pressure because of a varicocele rupture. 5 Kumar et al. reported a young man with an spermatic cord hematoma after blunt trauma to the groin area, 6 Takasu et al. reported a partial spermatic cord injury in a 53-year-old man after a motorcycle accident which resulted in an orchiectomy 3 closely resembling our case. ...
... The final case in the literature is a football injury resulting in a traumatic hematoma of the spermatic cord. 7 Nonetheless, we consider that our case is the first report describing a complete spermatic cord avulsion due to a direct blunt trauma to the groin area. ...
We report an extremely rare case of a patient with a total avulsion of the spermatic cord secondary to a blunt inguinal trauma. Doppler ultrasound was used to identify an absence of vascular flow and an indication for exploratory surgery. The retroperitoneum was accessed for hemostasis. Spermatic cord injury after blunt trauma is extremely rare but should be considered as a cause of an avascular testis after trauma.
... We identified in our search 31 case reports. Differentiation could be made based on etiology into three major causes, i.e. idiopathic, spontaneous hematomas (18×) [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20], (direct) traumatic (6×) [21][22][23][24][25][26], as a result of a coagulation disorder (4×) [27][28][29][30]. No abstract or not all necessary information was available in seven case reports. ...
... Existing literature describes various activities preceding a spontaneous scrotal hematoma, reviewed in Table 1. Examples are pressure during defecation [4,7,9,11], sexual intercourse [13], blunt abdominal trauma [5,8,14], heavy lifting [6], stretching in tight pants [15] or after fighter-pilot centrifuge training [19]. ...
... Diagnosing a cause of acute scrotal pain and swelling can be difficult, and as stated the differential diagnosis should include conditions such as testicular torsion, malignancy, epididymo-orchitis, or (incarcerated) inguinal hernia [6,14]. ...
An acute scrotal haematoma ,secondary to a spontaneous rupture of a varicocele is rare. However, multiple case reports have been reported.
This is a case of a 24- year old male with an acute scrotal swelling after sneezing. Well documented, because this gentleman was seen earlier because of subfertility and his varicocele was seen with ultrasound.
... Ayrıca orşiyektomi yapılma ihtimalinin de fazla olması sebebiyle testis rüptürü olan hastalarda konservatif yaklaşım uygun değildir [3]. Bununla birlikte sunulan olguda da olduğu gibi skrotumda oluşan hematomun spermatik korda bası yapması sebebiyle testisin kanlanması azalabilir ya da tamamen durabilir [5]. Bu sebeple skrotal travmaya bağlı testis rüptürü saptanan hastalarda erken cerrahi eksplorasyonla hematom boşaltılmalı ve spermatik kord serbestleştirilmelidir. ...
... The etiology of a spermatic cord hematoma may be stressful activity or exercise [[7], varicocele rupture [6] or may also be spontaneously idiopathic [8]. With regard to our patient, a spermatic cord hematoma may have occurred due to a sudden increase in the spermatic venous pressure after a Valsalva maneuver, without the need for a contact groin injury [9]. ...
Spermatic cord hematoma has rarely been documented in children and adults. We present the case of a hematoma in the spermatic cord of a toddler after the reduction of an irreducible hernia. Only one case of a spermatic cord hematoma in a child has been reported to date [1]. This is the second case report of a spermatic cord hematoma in a child.
