Case of the Month 2016-05, Page 2

The patient had gone to his urology office that morning, where a drainage of this cystic-appearing lesion was attempted. The drainage returned venous blood. He was thought to have a hematoma, however the ultrasound did not show the typical complex echogenicity seen in a scrotal hematoma.

A color doppler of the lesion was performed:

For a larger image, please click on Ultrasound 4 .

The lesion was described as a hypoechoic structure with hypervascularity seen in the superior to the right testis, measuring 9.1 x 7.5 x 4.2 cm.

There was a concern for a bleeding femoral artery aneurysm. A contrast-enhanced CT of the abdomen and pelvis was performed.

Describe the finding. Is this herniated bowel, a scrotal hemorrhage, hydrocele or mass?

For larger images, please click on CT 1 and CT 2 .

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