title: Acute Scrotum Following Traumatic Spermatic Cord Hematoma: A Case Report and Review.
abstract: Acute scrotum constitutes the most common urological emergency secondary to spermatic cord torsion, testicular trauma, orchiepididymitis and hernias. We report a very rare case of unique traumatic spermatic cord hematoma following scrotum injury occurred during a football match. Clinical exam showed an increased volume of the left spermatic cord; the color Doppler ultrasound (CDU) demonstrated left testicular ischemia secondary to a large spermatic cord hematoma that needs surgical exploration. Spermatic cord hematoma rarely induces acute scrotum, however it could be treated conservatively surgery is mandatory when pain is persistent or testicular ischemia is confirmed by CDU.
authors.affiliation: Urology Unit, Cannizzaro Hospital, Via Messina 829, Catania, Italy.
authors.forename: Pietro
authors.initials: P
authors.lastname: Pepe
authors.affiliation: Urology Unit, Cannizzaro Hospital, Via Messina 829, Catania, Italy.
authors.forename: Astrid
authors.initials: A
authors.lastname: Bonaccorsi
authors.affiliation: Urology Unit, Cannizzaro Hospital, Via Messina 829, Catania, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Candiano
authors.affiliation: Urology Unit, Cannizzaro Hospital, Via Messina 829, Catania, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Pietropaolo
authors.affiliation: Urology Unit, Cannizzaro Hospital, Via Messina 829, Catania, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Panella
authors.affiliation: Urology Unit, Cannizzaro Hospital, Via Messina 829, Catania, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Pennisi
keywords: Acute scrotum; Color Doppler ultrasound; Scrotal sac injury; Spermatic cord hematoma