PMC6311255_01
Doppler ultrasonography. Left: a well-defined area with heterogeneous echotexture on the left extratesticular tissue. No vascularity was noted in the lesion. Right: topography of the hematoma related to the varicocele. Scrotal wall thickening is also noted.
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fig1
No active bleeding was observed (Figure 1).
Doppler ultrasonography: dilatation of the pampiniform plexus of veins, image compatible with the varicocele.
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fig2
The presence of bilateral varicocele was confirmed (Figure 2).
MRI of the scrotum which confirms the presence of hematoma. There is no contrast enhancement of the collection.
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fig3
Due to the rarity of the condition, an MRI of the scrotum was performed and confirmed the diagnosis of hematoma (Figure 3).
PMC6311255_02
Doppler ultrasonography: a complex collection with internal echoes which is avascular on color Doppler, compatible with hematoma of the spermatic cord.
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fig4
Doppler ultrasonography of the scrotum revealed a spermatic cord hematoma expanding towards the upper pole of the left testis, with no active bleeding (Figure 4).
Doppler ultrasonography: dilated paratesticular veins, compatible with the presence of the varicocele. Presence of reflux during Valsalva maneuver.
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fig5
Left varicocele was also observed (Figure 5).