This non-traumatic hematocele
can be produced also by coagulation disorders or vasculitis.
The left epididymis appeared enlarged, thickened, and heterogeneous in echotexture with an associated small hematocele
Common pediatric scrotal diseases seen in the ED include testicular torsion, testicular appendage torsion, epididymitis, orchitis, hernia, hematocele
One may also consider hydrocele or hematocele
in the differential diagnosis.
Clinical categorization of scrotal masses according to anatomic location and clinical findings Testicular Testicular Extratesticular Extratesticular painful masses painless painful masses painless masses masses Torsion of Malignant Epididymitis Hernia spermatic cord testicular tumors Orchitis Benign Torsion of Hydrocele, testicular appendix testis hematocele
tumors Testicular trauma In utero Torsion of Adenomatoid (rupture, extravaginal epididymis epididymis hematoma) torsion tumor Hemorrage into Incarcerated Soft tissue tumor hernia tumors Benign or malignant Kawasaki disease Idiopathic scrotal edema Henoch-Schonlein purpura
2) Either injury can result in hematoceles
that eventually transform into post-traumatic hydroceles.