title: Massive scrotal hematoma following transfemoral cardiac catheterization.
abstract: Scrotal hematoma is a rare and unusual complication of transfemoral cardiac catheterization. We describe the case of a 43-year-old man who presented with a delayed retroperitoneal hemorrhage and massive scrotal hematoma following cardiac catheterization. Emergent groin exploration was performed with ligation of the inferior epigastric artery and evacuation of the scrotal hematoma. Urological sequelae from transfemoral arterial access are rare. However, scrotal hematoma may occur if bleeding occurs between anatomic fascial planes.
authors.affiliation: Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
authors.forename: Anil A
authors.initials: AA
authors.lastname: Thomas
authors.forename: Ryan
authors.initials: R
authors.lastname: Hedgepeth
authors.forename: Timur P
authors.initials: TP
authors.lastname: Sarac
authors.forename: Sandip P
authors.initials: SP
authors.lastname: Vasavada
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000009:adverse effects*; D019074:Epigastric Arteries / Q000293:injuries* / Q000601:surgery; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology; D005832:Genital Diseases, Male / Q000209:etiology* / Q000601:surgery; D006119:Groin; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008026:Ligation; D008297:Male; D012187:Retroperitoneal Space; D012611:Scrotum / Q000601:surgery