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KMID : 0385920120230050742
Journal of the Korean Society of Emergency Medicine
2012 Volume.23 No. 5 p.742 ~ p.744
Massive Scrotal Hematoma with Active Bleeding Caused by Sparganum
Kim Eun-Tak

Lee Jae-Kwang
Lee Jang-Young
Yang Young-Mo
Lee Won-Suk
Park Gyeong-Nam
Sung Won-Young
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.
KEYWORD
Scrotum, Sparganosis, Sparganum
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