Chronic hematocele complicating renal failure and hemodialysis.

Abstract

A patient with a recent history of genitourinary tuberculosis, chronic renal failure and hemodialysis presented with a slow growing scrotal swelling that had enlarged during the last 3 years. Physical examination and sonography were suspicious for testicular tumor, and surgical exploration and inguinal orchiectomy were performed. Ultimately the mass proved to be a chronic hematocele, a rare complication of uremic coagulopathy and hemodialysis. Because hematocele may clinically and sonographically resemble a testicular tumor, the proper management of a complex multiseptated scrotal mass without obvious history suggestive of hematocele is surgical exploration and orchiectomy. Awareness of this common presentation may obviate orchiectomy.

• Authors: I Leibovitch, J Ramon, J Ben Chaim, D Nass, B Goldwasser
• Journal: The Journal of urology (J Urol) Vol. 146 Issue 1 Pg. 162-4 (Jul 1991) ISSN: 0022-5347 [Print] United States
• PMID: 2056581 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Chronic Disease
• Diagnosis, Differential
• Hematocele (diagnosis, etiology, pathology, surgery)
• Humans
• Kidney Failure, Chronic (complications, therapy)
• Male
• Orchiectomy
• Renal Dialysis
• Scrotum
• Testicular Neoplasms (diagnosis)