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;27:405-9. https://doi.org/10.60147/f7f3bfce

Published in Internet: 06-11-2025 - Visits: 1329

Abstract

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

We report the case of a boy aged 9 years with a previously unrecognized inguinal lymphatic malformation that was identified in the context of a hematoma in this location. The history-taking and urgent testicular ultrasound examination were essential for accurate diagnosis and management, underscoring the need for close follow-up and a multidisciplinary approach.

Keywords

● Hematoma ● Lymphatic malformation ● Scrotum ● Testis ● Ultrasonography