Acute Scrotal Swelling after Blunt Thoracoabdominal Trauma

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Acute scrotal swelling is typically associated with direct testicular injury, torsion of the testes or appendages, epididymitis, hydroceles, and hernias. [1] Swelling resulting from hemoscrotum or hematocele after direct testicular trauma is well described in the literature. [2,3] Blood in the scrotum from blunt abdominal or thoracic injury secondary to splenic laceration and communicating hematocele in the pediatric population has been previously reported on two occasions. [4,5] Both were identified only after surgical exploration. We report the case of a 10-year-old boy who developed scrotal swelling that represented blood from a splenic laceration secondary to blunt trauma.