Abstract
Hematoceles are usually associated with a history of scrotal trauma, are usually painful and rarely have an idiopathic origin. We describe the peculiar case of a hematocele mistaken for a testicular cancer. It is a case of 70-year-old male with no significant history of trauma with complaints of testicular swelling for 18 months presented to hospital. Ultrasound and High-dose contrast-enhanced computed tomography were unable to rule out malignancy hence proceeded with inguinal orchidectomy. MRI and ultrasound may help in diagnosis but final diagnosis is confirmed by histological analysis. Blood evacuation or orchidectomy include the management of this condition.
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