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J Korean Soc Emerg Med > Volume 23(5); 2012 > Article
Journal of The Korean Society of Emergency Medicine 2012;23(5): 742-744.
Massive Scrotal Hematoma with Active Bleeding Caused by Sparganum
Eun Tak Kim, Jae Kwang Lee, Jang Young Lee, Young Mo Yang, Won Suk Lee, Gyeong Nam Park, Won Young Sung
1Department of Urology, College of Medicine, Eulji University, Daejon, Korea.
2Department of Emergency Medicine, College of Medicine, Konyang University, Daejeon, Korea.
3Department of Emergency Medicine, College of Medicine, Eulji University, Daejeon, Korea. pons1224@naver.com
ABSTRACT
Development of swelling and pain without trauma in a scrotal hematoma is very rare. We report on a case of scrotal hematoma with active bleeding caused by sparganosis. A 75-year-old male patient who presented with left scrotal swelling and moderate pain that started one day ago was admitted to the emergency department. On the computed tomography (CT) scan, a hematoma of greater than 10 cm was observed in the left scrotum and contrast extravasation was observed on the post-enhanced CT scan. Therefore, we concluded massive left scrotal hematoma with active bleeding. The patient underwent immediate surgery, and approximately 200 cc of hematoma was evacuated, and a movable whitish colored sparganum was found and removed. In cases involving development of scrotal hematoma without trauma, confirmed by surgery, sparganosis should be suspected, and should be removed.
Key words: Scrotum, Sparganosis, Sparganum
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