A hematocele is a collection of blood in a body cavity.[1] The term most commonly refers to the collection of blood in the tunica vaginalis around the testicle.[2] Hematoceles can also occur in the abdominal cavity and other body cavities.[3][4]

A massive hemoscrotum (scrotal hematoma) which occurred as a complication of inguinal herniorrhaphy. The scrotum was explored surgically, and a drain was left behind (seen on the patient's right thigh). A Foley catheter is in place to prevent urinary retention.


Scrotal ultrasonography of a hematocele, a couple of weeks after appearance, as a fluid volume with multiple thick septations. The hematocele displays no blood flow on Doppler ultrasonography. A pyocele has a similar appearance, but was excluded by lack of inflammation.

A scrotal hematocele is also called a hemoscrotum (or haemoscrotum in British English).

Hemoscrotum can follow trauma (such as a straddle injury) or can be a complication of surgery. It is often accompanied by testicular pain. It has been reported in patients with hemophilia and following catheterization of the femoral artery. If the diagnosis is not clinically evident, transillumination (with a penlight against the scrotum) will show a non-translucent fluid inside the scrotum. Ultrasound imaging may also be useful in confirming the diagnosis. In severe or non-resolving cases, surgical incision and drainage may be required. To prevent recurrence following surgical drainage, a drain may be left at the surgical site.

See also


  1. "Dorlands Medical Dictionary:hematocele".
  2. Hematocele. Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders.
  3. Manson, F. Ectopic pregnancy with negative serum hCG level. SonoWorld.com. 2006.
  4. Bedi, D., et al. (1984). Chronic ectopic pregnancy. J Ultrasound Med 3 347-52.

This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.