A Case Report on Large Scrotal Hematocele

We report a 68-year-old male who presented non-traumatic testicular swelling with no pain. Physical examination and sonography presented a suspicion of testicular tumor. Tumor markers like human chorionic gonadotropin, alpha-fetoprotein and carcino-embryonic antigen were negative. U/S and CECT did not exclude a testicular tumor completely. As it was impossible to exclude a malignant tumor, both surgical exploration and inguinal orchiectomy were performed. The histopathological diagnosis suggestive of organized hematocele. Therefore this entity should be considered in the differential diagnosis of scrotal masses, even in the absence of a clear history of trauma.