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RESIDENT’S CORNER

Massive scrotal hematoma following transfemoral cardiac catheterization

Anil A. Thomas¹, Ryan Hedgepeth¹, Timur P. Sarac², Sandip P. Vasavada¹

1 Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA
2 Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Address correspondence to Dr. Sandip Vasavada, Glickman Urological and Kidney Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, A100, Cleveland, Ohio 44195 USA

Canadian Journal of Urology 2008, 15(2), 4020-4023.

Abstract

Scrotal hematoma is a rare and unusual complication of transfemoral cardiac catheterization. We describe the case of a 43-year-old man who presented with a delayed retroperitoneal hemorrhage and massive scrotal hematoma following cardiac catheterization. Emergent groin exploration was performed with ligation of the inferior epigastric artery and evacuation of the scrotal hematoma. Urological sequelae from transfemoral arterial access are rare. However, scrotal hematoma may occur if bleeding occurs between anatomic fascial planes.

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