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Intratesticular hematoma after blunt scrotal trauma: a case series and algorithm-based approach to management.

Bowen DK, Gonzalez CM - Cent European J Urol (2014)

Bottom Line: We present our experience with intratesticular hematoma (ITH) without rupture of the tunica albuginea following blunt scrotal trauma and present an algorithm for management.Time from the incident to presentation ranged from 5 hours to 4 days.Two patients underwent surgical exploration and all patients had resolution of pain within one to two days.

View Article: PubMed Central - PubMed

Affiliation: Northwestern University, Department of Urology, Chicago, United States.

ABSTRACT
We present our experience with intratesticular hematoma (ITH) without rupture of the tunica albuginea following blunt scrotal trauma and present an algorithm for management. We reviewed the charts of 3 patients who presented between 2006 and 2013 with this finding. Time from the incident to presentation ranged from 5 hours to 4 days. All patients underwent at least one scrotal ultrasound reviewed by the same urologist. Two patients underwent surgical exploration and all patients had resolution of pain within one to two days. Management of ITH should be centered on the patient's pain severity as well as serial ultrasound findings.

No MeSH data available.


Related in: MedlinePlus

Bivalved testis showing non-viable semniferous tubules that were subsequently debrided.
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Figure 0004: Bivalved testis showing non-viable semniferous tubules that were subsequently debrided.

Mentions: A 56–year old veteran presented to the emergency room 4 days after he fell and struck his scrotum. He complained of worsening pain and nausea with one episode of emesis. His scrotum was not significantly swollen and there was no evidence of rupture, however, he had significant tenderness on exam. His scrotal ultrasound showed blood flow to the testis and a 1.1 x 1.2 x 1.3 cm ITH (Figure 3). Due to his significant pain and extreme tenderness on exam, he was taken to the operating room. Scrotal exploration revealed an intact TA however nearly 50% of the seminiferous tubules were nonviable and required debridement (Figure 4). His pain resolved on post–operative day 2 and at five–month follow–up his testis size remained stable with no scrotal pain.


Intratesticular hematoma after blunt scrotal trauma: a case series and algorithm-based approach to management.

Bowen DK, Gonzalez CM - Cent European J Urol (2014)

Bivalved testis showing non-viable semniferous tubules that were subsequently debrided.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4310892&req=5

Figure 0004: Bivalved testis showing non-viable semniferous tubules that were subsequently debrided.
Mentions: A 56–year old veteran presented to the emergency room 4 days after he fell and struck his scrotum. He complained of worsening pain and nausea with one episode of emesis. His scrotum was not significantly swollen and there was no evidence of rupture, however, he had significant tenderness on exam. His scrotal ultrasound showed blood flow to the testis and a 1.1 x 1.2 x 1.3 cm ITH (Figure 3). Due to his significant pain and extreme tenderness on exam, he was taken to the operating room. Scrotal exploration revealed an intact TA however nearly 50% of the seminiferous tubules were nonviable and required debridement (Figure 4). His pain resolved on post–operative day 2 and at five–month follow–up his testis size remained stable with no scrotal pain.

Bottom Line: We present our experience with intratesticular hematoma (ITH) without rupture of the tunica albuginea following blunt scrotal trauma and present an algorithm for management.Time from the incident to presentation ranged from 5 hours to 4 days.Two patients underwent surgical exploration and all patients had resolution of pain within one to two days.

View Article: PubMed Central - PubMed

Affiliation: Northwestern University, Department of Urology, Chicago, United States.

ABSTRACT
We present our experience with intratesticular hematoma (ITH) without rupture of the tunica albuginea following blunt scrotal trauma and present an algorithm for management. We reviewed the charts of 3 patients who presented between 2006 and 2013 with this finding. Time from the incident to presentation ranged from 5 hours to 4 days. All patients underwent at least one scrotal ultrasound reviewed by the same urologist. Two patients underwent surgical exploration and all patients had resolution of pain within one to two days. Management of ITH should be centered on the patient's pain severity as well as serial ultrasound findings.

No MeSH data available.


Related in: MedlinePlus