A small hematocele may cause no problem with fertility and may dissipate without treatment, but a large hematocele may insulate the testes, causing interference with spermatogenesis.
Scrotal enlargement caused by neoplasia must be differentiated from other causes of scrotal enlargement, such as torsion of the spermatic cord, orchitis, epididymitis, hydrocele, hematocele, and inguinal herniation or rupture.
The differential diagnosis of a firm, painless scrotal mass should include the possibility of a rare chronic hematocele, even in absence of trauma.
Chronic hematocele complicating renal failure and hemodialysis.
Idiopathic superinfected giant hematocele. Actas Urol Esp 2003;27:645-8.
A case of chronic scrotal hematocele. Hinyokika Kiyo 1995;41:817-9.
A case of chronic huge hematocele. Hinyokika Kiyo 1989;35:1421-4.
was present between the testicle and the tunica vaginalis.
(6,8) In the case reported here, color Doppler showed vessels within the septae, a finding that would not be expected in an organized pyocele or hematocele
, which may otherwise have a similar sonographic appearance.
and pyoceles are rare and are usually caused by trauma, surgery, or neoplasm.
Ante la sospecha de lesion del parenquima pulmonar, como se menciono anteriormente, muestra cambios de forma inmediata, evidenciando opacidades, quistes pulmonares postraumaticos (hematoceles
) o hematomas focales.
(2) Either injury can result in hematoceles
that eventually transform into post-traumatic hydroceles.