Spontaneous Idiopathic Hematoma of the Spermatic Cord: A Report of 2 Cases

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Abstract
Two cases of spontaneous idiopathic spermatic cord hematoma are presented and the literature reviewed. These hematomas predominately occur in untraumatized young adults after physically stressful exercise. Surgical exploration was performed in 4 previously reported cases and in our own. In each case the preoperative diagnosis was incorrect. Since this clinical entity cannot clearly be distinguished from other causes of an acute scrotum, surgical exploration seems warranted. Possible etiologies of spontaneous idiopathic spermatic cord hematoma are spermatic cord vein rupture, and tear in the cremasteric muscle.

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