Radiological differential diagnosis and management of retroperitoneal hematomas posterior to radical inguinal orchiectomies. A case report

Santiago Escobar-Urrejola; Gastón Astroza; Felipe Del Valle; Alberto Fuentes; Álvaro Zúñiga

doi:10.1016/j.eucr.2022.102020

Radiological differential diagnosis and management of retroperitoneal hematomas posterior to radical inguinal orchiectomies. A case report

Urol Case Rep. 2022 Feb 2:42:102020. doi: 10.1016/j.eucr.2022.102020. eCollection 2022 May.

Authors

Santiago Escobar-Urrejola¹, Gastón Astroza², Felipe Del Valle², Alberto Fuentes², Álvaro Zúñiga³

Affiliations

¹ Emergency Department, Hospital Sótero del Río, Avenida Concha y Toro 3459, Puente Alto, Región Metroplitana, 81500000, Chile.
² Urology Department, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Santiago, Región Metropolitana, 8320000, Chile.
³ Urology Department, Clínica Santa María, Avenida Sana María 500, Providencia, Región Metropolitana, 7500000, Chile.

Abstract

Introduction: Retroperitoneal hematomas are rare complications of radical inguinal orchiectomy. This case report discusses their radiological differential diagnosis and management.

Case presentation: A radical inguinal orchiectomy was performed on a 27-year-old patient. After discharge, he referred back pain. Computed tomography showed a retroperitoneal hematoma. A conservative approach was decided.

Discussion: Traditionally, retroperitoneal hematomas have been considered possible radiologic pitfalls, which has therapeutical implications. This pitfall seems less likely in contemporary clinical practice.A conservative approach is preferred in stable patients, whereas active management should be offered to unstable patients.

Conclusion: Future studies are necessary to offer evidence-based therapeutical options.

Keywords: CT, Computed tomography; Differential diagnosis; ER, Emergency room; Hematoma; MRI, Magnetic resonance imaging; Orchiectomy; Postoperative complications; Therapy.

Publication types

Case Reports