Document Detail

Scrotal swelling after intra-abdominal injury.
MedLine Citation:
PMID:  22707655     Owner:  NLM     Status:  MEDLINE    
A fit and well gentleman presented with scrotal swelling, 2 days after blunt force trauma to the lower left side of his chest. At the time of injury, a focused assessment with sonography for trauma (FAST) scan for intra-abdominal trauma was negative. He was discharged but returned with persistent pain and swelling of the scrotum 4 days after the injury. This swelling was due to a haematocele secondary to splenic laceration caused by the original trauma. He remained well and did not require further intervention; the scrotal swelling had resolved after 2 weeks. This case highlights that intra-abdominal injury is an important differential of acute scrotal swelling and that 'FAST negative' needs to be treated with caution in order not to miss more subtle injuries.
Caroline Prentice; Andrew Schofield
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-03-08
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-18     Completed Date:  2013-02-19     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Royal Shrewsbury Hospital, Shrewsbury, Shropshire, UK.
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MeSH Terms
Abdominal Injuries / complications
Edema / etiology*
Genital Diseases, Male / etiology*
Spleen / injuries*

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