Scrotal swelling after intra-abdominal injury.
A fit and well gentleman presented with scrotal swelling, 2 days after blunt force trauma to the lower left side of his chest. At the time of injury, a focused assessment with sonography for trauma (FAST) scan for intra-abdominal trauma was negative. He was discharged but returned with persistent pain and swelling of the scrotum 4 days after the injury. This swelling was due to a haematocele secondary to splenic laceration caused by the original trauma. He remained well and did not require further intervention; the scrotal swelling had resolved after 2 weeks. This case highlights that intra-abdominal injury is an important differential of acute scrotal swelling and that 'FAST negative' needs to be treated with caution in order not to miss more subtle injuries.
Royal Shrewsbury Hospital, Shrewsbury, Shropshire, UK. cprentice@doctors.org.uk
Caroline
C
Prentice
Andrew
A
Schofield
D000007:Abdominal Injuries / Q000150:complications; D000328:Adult; D004487:Edema / Q000209:etiology*; D005832:Genital Diseases, Male / Q000209:etiology*; D006801:Humans; D008297:Male; D012611:Scrotum; D013154:Spleen / Q000293:injuries*