[1] The term most commonly refers to the collection of blood in the tunica vaginalis around the testes, known as a scrotal hematocele.

[7] The scrotum contains the testicles and related structures that produce, store and transport sperm and male sex hormones.

[citation needed] Variation in signs and symptoms will depend on the abnormality present and medical history.

[9] It is important to seek emergency medical care if developing sudden pain in the scrotum to avoid damage to the testicle that can be permanent.

[7] The signs and symptoms listed below are relating to hematoceles and associated conditions that can be due to other causes such as testicular cancer or testicular torsion:[7] If the cause of the scrotal mass is due to infection then signs and symptoms may be the following:[7] Scrotal masses might be an accumulation of fluids, the growth of abnormal tissue, or normal contents of the scrotum that have become swollen, inflamed or hardened.

[8] A traumatic hematocele usually results from testicular rupture (80% of cases) or a tear in the pampiniform plexus veins.

[10] Idiopathic or spontaneous hematoceles give no history of testicular cancer or past trauma to testis, no pain in the organ, and seems to be more common the older population.

A hematocele that begins bleeding into itself, becoming a hemorrhagic cyst, can easily rupture and cause a number of problems.

[11] If the hematocele is older, the tunica sac appears filled with spongy material several times larger than the testicular volume.

In its final stages the lesion consists of a thickened, fibrosed, and calcified tunica sac which may also show osseous metaplasia.

[8] If the hematocele is relatively small and does not cause a lot of pain, conservative treatment such as foot elevation and bed rest may be sufficient.

[11] If a testicular tumor is found to be the cause of the bleeding, the entire testicle is generally removed to prevent cancer from spreading to other parts of the body.

[11] In order to prevent hematoceles, it is important to have testicular self-exams to help find abnormalities sooner.

[11] However they can affect the health or function of the testicle that can lead to:[7] The hematocele severity will depend on whether it is symptomatic or asymptomatic.

[12] The case study presents the patient with no history of any trauma or previous surgery, and general physical condition being normal.

Doppler ultrasound in a retrospective study was shown to be helpful for differential diagnosis of patients with acute scrotum.

[13] Scrotal masses are a common presentation in primary care, and a painful scrotum accounts for 1% of emergency department visits.