Communicating hematocele in children following splenic rupture: diagnosis and management
Acute hematocele is commonly associated with direct testicular trauma. Blood within the tunica vaginalis may infrequently accompany blunt abdominal injury in the presence of a communicating hydrocele. Optimal management involves early recognition and treatment of the abdominal source of bleeding. Elective repair of the communicating hydrocele/hematocele should follow. We report 2 cases of boys with scrotal swelling due to communicating hematoceles. Both cases were associated with a patent processus vaginalis and splenic laceration secondary to blunt trauma.
Shirvani
AR
Department of Urology, Ochsner Clinic and Alton Ochsner Medical Foundation and the Louisiana State University School of Medicine, New Orleans, Louisiana, USA.
Ortenberg
J