Hematocele crónico imitando un tumor testicular. Presentación de dos casos / Chronic hematocele simulating a testicular tumor. Report of two cases

Objetivo: El diagnóstico diferencial de masas escrotales incluye procesos inflamatorios, tumores malignos y lesiones traumáticas, incluyendo hematomas y hematocele crónico. Métodos/Resultados: Presentamos dos casos de hematocele crónico discutiéndose las características clínico-radiológicas de dichas lesiones y su diagnóstico diferencial. Conclusiones: El diagnóstico preoperatorio de hematocele puede ser difícil, ya que la sintomatología puede imitar una lesión quística o una neoplasia (AU)

Objective: Differential diagnosis of a testicular mass includes inflammatory conditions,malignant tumors and traumatic lesions, including hematomas and hematocele. Methods/Results: We report two cases of chronic hematocele. We discuss the clinico-radiologic characterisc and differential diagnosis. Conclusion: Hematocele is difficult to diagnose preoperatively because its symptoms may mimic cysts or neoplasms (AU)

[Chronic calcified hematocele. Case report]. / Hematocele crónico calcificado. A proposito de un caso.

OBJECTIVE: Chronic hematoceles are rare scrotal masses. Most of them include trauma, torsion, tumor, and surgery as possible causes. We describe the case of an old diabetic patient, who is attended for presenting a marked increase in size of the right hemiescrotum and pain. METHODS: We described computed tomography and sonographic findings. RESULTS/CONCLUSIONS: Frequently, a varicocele is an associated finding. Presumibly, minor trauma results in rupture of dilated vessels. In sonographic exploration, they have a more complex heterogeneous appearance with echogenic debris and septations. Most hematoceles spontaneously resolve with conservative therapy.

Hematocele crónico calcificado. A proposito de un caso / Chronic calcified hematocele. Case report

Objetivo: Los hematoceles crónicos son una causa infrecuente de masa escrotal. Se asocian en la mayoría de los casos a traumatismos, cirugía previa, diabetes, neoplasias, torsión testícular o enfermedad arterioesclerótica. Presentamos el caso de un paciente de edad avanzada, diabético, que consulta en urgencias por presentar desde hace tres meses un cuadro de aumento de tamaño del hemiescroto derecho y supuración, así como fiebre y dolor. Método: Se le realiza ecografía y una tomografía (TC) abdomino-pélvica con extensión inguino-escrotal describiéndose los hallazgos encontrados en las pruebas de imagen y que nos pueden ayudar a caracterizar esta entidad clínica. Resultados/Conclusiones: El mecanismo de producción es el resultado de traumas menores sobre vasos dilatados. Suelen ir acompañando a procesos agudos como epididimitis y torsión testicular. Se presentan ecográficamente como masas heterogéneas con septos, tabiques y loculaciones en su interior. Muchos de ellos se resuelven con tratamiento conservador (AU)

Objective: Chronic hematoceles are rare scrotal masses. Most of them include trauma, torsion, tumor, and surgery as possible causes. We describe the case of an old diabetic patient, who is attended for presenting a marked increase in size of the right hemiescrotum and pain. Methods: We described computed tomography and sonographic findings. Results/Conclusions: Frequently, a varicocele is an associated finding. Presumibly, minor trauma results in rupture of dilated vessels. In sonographic exploration, they have a more complex heterogeneous appearance with echogenic debris and septations. Most hematoceles spontaneously resolve with conservative therapy (AU)

[Idiopathic superinfected giant hematocele]. / Hematocele gigante sobreinfectado idiopático.

A 45 year old male patient is attended for a marked increase in the size of the left hemiscrotum totally painless. The diagnosis was haematocele, but no cause was found for the bleeding. Orchidectomy and complete exeresis of the tunica vaginalis was carried out.

[A case of chronic huge hematocele].

A case of chronic hematocele with calcification of the tunica vaginalis is reported. A 65-year-old male was referred to our clinic because of painless swelling of left scrotal contents. Examination revealed a heavy hard mass, 18 cm in diameter, in left scrotum, which started to enlarge 5 years earlier. He had a history of having been kicked by a cow about 10 years previously. The scrotum did not transmit light. Ultrasonography demonstrated hematocele with calcified shell. As it was impossible to exclude a testicular tumor completely, we performed high orchiectomy. Upon opening the mass an old hematocele was formed, which contained old brownish black clotted blood and a normal testis. The thick shell of the mass was found to be a calcified tunica vaginalis. Only 2 cases of chronic hematocele have been reported in the Japanese literature.

Quiste hemático de la orbita / The hematic cyst of the orbit

El quiste hemático es relativamente infrecuente. Su origen no es claro, pero ha sido descrito en asociación con trauma directo de órbita, hemorragia espontánea, discrasia sanguínea, linfangioma y hemorragioma cavernoso. Puede presentarse en cualquier grupo etáreo. Se reporta un caso de quiste hemático de órbita izquierda, sin antecedente traumático que clínicamente se diagnosticó como mucocele frontal izquierdo, describiéndose su tratamiento quirúrgico y el material histopatológico que concluye al diagnóstico definitivo