Title: Massive Penoscrotal Haematoma Following Scrotal Abscess Drainage A Case Report and Review of Literature
Authors: Rahul Singh R, Naveed Ahmed Khan, Srinivasan D, Sreeramulu P.N, Lakshmi Reddy
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.42
Abstract
Hematoma is a common complication of surgical operations. Hematoma of traumatic origin is often associated with severe and extensive injuries. In patients with disorders of blood coagulation, hematoma may occur even after trivial injuries. We report a case of massive penoscrotal hematoma following a simple scrotal abscess drainage. The patient developed secondary hemorrhage post operatively and antibiotic support and blood transfusion was required. Operative evacuation of the hematoma was necessary to avoid the development of necrotizing fasciitis of the scrotum (Fournier's gangrene) and to salvage the testes. After scrotal abscess drainage should the wound be sutured? Is it a must to use drain’s in all inguinal and scrotal surgeries? These are few among many questions which need a second thought. We were curious to explore and see why our patient developed a hematoma, and lucky as well to know that the testes were viable and no further complications were to be seen.
Keywords- scrotal abscess, necrotizing fasciitis, Fournier’s gangrene, drain.
