KMID : 0385920120230050742
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Journal of the Korean Society of Emergency Medicine 2012 Volume.23 No. 5 p.742 ~ p.744
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Massive Scrotal Hematoma with Active Bleeding Caused by Sparganum
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Kim Eun-Tak
Lee Jae-Kwang Lee Jang-Young Yang Young-Mo Lee Won-Suk Park Gyeong-Nam Sung Won-Young
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Abstract
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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.
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KEYWORD
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Scrotum, Sparganosis, Sparganum
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