Although it has been considered a safe treatment modality, uncommon complications can occur, such as perirenal hematoma and hematocele of the scrotum, which may be severe and life-threatening.
[2] Ultrasonography: Large Scrotal exploration scrotal hematoma Inguinal orchiectomy Computed tomography: Large right-sided hematocele of mixed attenuation consistent with acute hemorrhage and evidence of extravasation of contrast at the superior pole of the hematocele
In the differential diagnosis of acute scrotum, testicular torsion, appendix testicular torsion, repairable or strangulated inguinal hernia, trauma caused by breech presentation, hematocele, scrotal abscess, malignancy, ectopic spleen and ectopic adrenal gland should be kept in mind, though rarely observed in the neonatal period.
Discussion Basic physical examination Other causes that may present as a scrotal mass: Epididymitis, orchitis, hydrocele, hematocele. Transillumination of scrotum Helps establish potential diagnosis and guide additional work-up.
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