PMC4118757_01
Scrotal ultrasound of the right testicle in transverse revealing a hypoechogenic lesion within the central testicle with an anechoic central core.
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Scrotal ultrasound revealed a region of hypoechogenicity measuring 3.3cm x 2cm felt to represent an intratesticular hematoma (see Figure 1).
Doppler ultrasound of the right testicle in transverse reveals an arterial waveform within the center of the anechoic portion of the testicular mass.
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Within this there was a 1cm central focus that demonstrated an arterial wave form with alternating reversal of flow, suggestive of a pseudoaneurysm (see Figure 2).
Gross section of the right testicle bi-valved with hematoma and surrounding intraparenchymal hemorrhage.
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Pathologic evaluation confirmed the presence of significant intraparenchymal hemorrhage within a background of chronic orchitis (see Figure 3).