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
A R
AR
Department of Urology, Ochsner Clinic and Alton Ochsner Medical Foundation and the Louisiana State University School of Medicine, New Orleans, Louisiana 70121, USA.
Ortenberg
J
J
D000293:Adolescent; D002675:Child, Preschool; D006398:Hematocele / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D013161:Splenic Rupture / Q000150:complications*