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Massive penoscrotal hematoma. The bleeding site resulting from inguinal hernia repair was explored surgically, and a drain was left behind (seen on the patient's right thigh). A Foley catheter is in place to prevent urinary retention. In urology, hemoscrotum (or haemoscrotum in British English) is a condition in which blood accumulates inside the scrotum. Hemoscrotum can follow trauma (such as a straddle injury) or can be a complication of surgery. It can be a feature of acute scrotum. It has been reported in patients with hemophilia and following catheterization of the femoral artery. There are several options if the diagnosis is not clinically evident. Transillumination (with a penlight against the scrotum) will show a non-translucent fluid inside the scrotum. Ultrasound imaging may confirm the diagnosis. In severe or non-resolving cases, surgical drainage may be required. To prevent hemoscrotum following surgery, a drain may be left at the surgical site. This disease article is a stub. You can help Wikipedia by expanding it. v • d • e