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Spontaneous idiopathic intratesticular hemorrhage as a differential diagnosis for acute scrotal pain

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submitted on 2024-02-21, 10:30 and posted on 2024-02-21, 10:31 authored by Saleh Abuorouq, Husam K. Haddad, Mohannad Alomari, Tawfeeq El-Far, Hiba Alzoubi, Mohammad Alqudah, Hashem Abu Serhan

Background

Spontaneous idiopathic testicular hemorrhage is an extremely rare entity with few published reports in the literature.

Case presentation

We report a case of a 15-year-old boy who had been experiencing intense, left scrotal pain for the previous twelve hours. No previous history of trauma or bleeding disorders. The left testis was enlarged and tender. Left orchiectomy was performed. The entire testis was dusty and dark grossly. Microscopic sections show diffuse intratesticular bleeding with intact seminiferous tubules and spermatogenesis.

Conclusions

Spontaneous idiopathic testicular hemorrhage should be considered when evaluating patients with acute scrotal pain. Clinical and ultrasonographic findings and histopathologic evaluation are mandatory to diagnose it.

Other Information

Published in: BMC Urology
License: https://creativecommons.org/licenses/by/4.0
See article on publisher's website: https://dx.doi.org/10.1186/s12894-023-01255-0

Funding

Open Access funding provided by the Qatar National Library.

History

Language

  • English

Publisher

Springer Nature

Publication Year

  • 2023

License statement

This Item is licensed under the Creative Commons Attribution 4.0 International License.

Institution affiliated with

  • Hamad Medical Corporation

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