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A traumatic hematocele usually results from testicular rupture (80% of cases) or a tear in the pampiniform plexus veins. [8] Testicular rupture and testicular torsion are also common causes of scrotal hematocele. [8] It can also be caused by kidney injury, pancreatitis, hematological dysfunction, or vasculitis. [8]
Testicular rupture, typically resulting from trauma sustained during a motor vehicle crash or sports play, mainly affects those from the ages of 10–30. The main symptoms of testicular rupture are scrotal swelling and severe pain, which can make diagnosis difficult. Testicular rupture should be suspected whenever blunt trauma to the scrotum ...
The differential diagnosis of testicular pain is broad and involves conditions from benign to life-threatening. The most common causes of pain in children presenting to the emergency room are testicular torsion (16%), torsion of a testicular appendage (46%), and epididymitis (35%). [4] In adults, the most common cause is epididymitis. [citation ...
The abdominal pain may improve or worsen depending on positioning. [5] Patients may also have orthostatic proteinuria, or the presence of protein in their urine depending on how they sit or stand. [6] Since the left gonadal vein drains via the left renal vein, it can also result in left testicular pain [7] in men or left lower quadrant pain in ...
This is a shortened version of the tenth chapter of the ICD-9: Diseases of the Genitourinary System. It covers ICD codes 580 to 629. The full chapter can be found on pages 329 to 353 of Volume 1, which contains all (sub)categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1.
Elevation of the testicle may worsen the pain. Urinary symptoms, such as pain or increased frequency of urination are also typically absent. [7] Symptom onset often follows physical activity or trauma to the testes or scrotum. Children with testicular torsion may awaken with testicular or abdominal pain in the middle of the night or in the ...
A nearly 100% salvage rate exists within the first 6 hours after the onset of symptoms; a 70% rate, within 6–12 hours; and a 20% rate, within 12–24 hours. Therefore, testicular torsion is a surgical emergency and the role of ultrasound is to differentiate it from epididymitis as both disease presents with acute testicular pain clinically.
While one may expect that the female to have equal prevalence of pelvic compression syndrome due to the identical embryological origin of the valveless pampiniform plexus, this condition is thought to be underdiagnosed due to the broad differential of the pain pattern: unilateral or bilateral pain, dull to sharp, constant to intermittent pain ...