| Associated findings may include scrotal wall thickening and hematocele. |
| The differential diagnosis includes pyocele, hematocele, epididymal cyst, epididymal cystic lymphangioma, varicocele, and rhabdomyosarcoma. |
| Other findings include irregular, poorly defined borders, scrotal wall thickening, and hematocele. |
| Secondarily, the persistence of the hematocele induce an inflammatory response, that could explain the inflammatory syndrome as in our case. |
| Even in the setting of normal testicular blood flow, surgical exploration of an acute large hematocele is warranted to evaluate for occult testicular rupture. |
| Trauma often may result in hematoma, hydrocele, hematocele, testicular fracture, or testicular rupture. |
