Inguinoscrotal hematoma, what's hidden underneath?

Laura de la Sen de la Cruz ^a, Soledad Amorós Villaverde ^a, Ana Jové Blanco ^a, María García de Oteyza ^a, Clara Ferrero García-Loygorri ^a, María Escobar Castellanos ^a

^aServicio de Pediatría. Hospital General Universitario Gregorio Marañón. Madrid. España.

Correspondence: L de la Sen. E-mail: lauradlsc3@gmail.com

Reference of this article: de la Sen de la Cruz L, Amorós Villaverde S, Jové Blanco A, García de Oteyza M, Ferrero García-Loygorri C, Escobar Castellanos M. Inguinoscrotal hematoma, what's hidden underneath? . Rev Pediatr Aten Primaria. 2025;27:[en prensa].

Published in Internet: 06-11-2025 - Visits: 466

Abstract

The occurrence of an inguinoscrotal hematoma in the absence of prior trauma or surgical intervention represents a diagnostic challenge, as it may constitute the initial manifestation of an underlying pathological condition in this region.

We report the case of a 9-year-old male patient with a previously unrecognized inguinal lymphatic malformation, which was identified in the context of a hematoma in this location. Clinical history and urgent testicular ultrasonography were essential for accurate diagnosis and management, emphasizing the need for close follow-up and a multidisciplinary approach.

Keywords

● Hematoma ● Lymphatic malformation ● Scrotum ● Testis ● Ultrasound