Chronic hematocele complicating renal failure and hemodialysis.
A patient with a recent history of genitourinary tuberculosis, chronic renal failure and hemodialysis presented with a slow growing scrotal swelling that had enlarged during the last 3 years. Physical examination and sonography were suspicious for testicular tumor, and surgical exploration and inguinal orchiectomy were performed. Ultimately the mass proved to be a chronic hematocele, a rare complication of uremic coagulopathy and hemodialysis. Because hematocele may clinically and sonographically resemble a testicular tumor, the proper management of a complex multiseptated scrotal mass without obvious history suggestive of hematocele is surgical exploration and orchiectomy. Awareness of this common presentation may obviate orchiectomy.
Leibovitch
I
I
Department of Urology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Ramon
J
J
Ben Chaim
J
J
Nass
D
D
Goldwasser
B
B
D000328:Adult; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006398:Hematocele / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D009919:Orchiectomy; D006435:Renal Dialysis; D012611:Scrotum; D013736:Testicular Neoplasms / Q000175:diagnosis