Chronic Scrotal Hematocele: A Rare Entity and Diagnostic Dilemma

Abstract

Objective: A comprehensive literature review performed to highlight the clinical and surgical aspect of chronic scrotal hematocele. Material and Method: The National Library of Medicine database searched for relevant article using combination of key words: hematocele, scrotal hematocele, chronic hematocele up to January 2017, irrelevant abstracts excluded and articles reviewed from the clinical, radiological and pathological aspects. Results and discussion: Chronic scrotal hematocele presented as slowly progressing scrotal mass, differentiation from testicular neoplasm is difficult and, in most cases, only possible after surgical removal of the mass. High index of suspicion, especially in slowly growing scrotal mass in men older than 50 years, is required to diagnose this pathology and prevent unnecessary orchiectomy. Conclusion: Chronic scrotal hematocele is a rare pathology with clinical and radiological characteristics similar to testicular tumor, carful patient history taken is crucial to help in proper management.