Hematocele is a condition characterized by the collection of blood in the tunica vaginalis.

What is the Pathology of Hematocele?

The pathology of hematocele is:

-Etiology: The cause of hematocele is associated with trauma to the testis, torsions, scrotal, bleeding diathesis, and rarely idiopathic issues.

-Genes involved: Unknown. 

-Pathogenesis: The sequence of events that lead to hematocele involves the collection of fluid (blood) in the tunica vaginalis typically after trauma.  

-Morphology: The morphology associated with hematocele shows a blood-filled cavity, which may be calcified with time.

-Histology: The histology associated with hematocele shows unifying hemorrhage and fibrous capsule with or without calcifications.

How does Hematocele Present? 

Patients with hematocele typically affect males present at the age range of 10 to 30 years old. The symptoms, features, and clinical findings associated with hematocele include acute onset of scrotal pain, firm, scrotal mass. Hematoceles may also be painless in idiopathic cases. 

How is Hematocele Diagnosed? 

Hematocele is diagnosed through history and examination. MRI or scrotal ultrasound may be useful. 

How is Hematocele Treated? 

Hematocele is treated through supportive care, medical care treating underlying causes, analgesics, antibiotics, and surgical interventions.

What is the Prognosis of Hematocele?

The prognosis of hematocele is good with early diagnosis and testis salvage from necrotizing.