R. Mund ( Leipzig ), H. Loertzer ( Halle )  

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16 Years  

Male  

Pelvis-Testis  

physical  

16 year-old patient with testicular trauma with known severe Hemophilia A.  

N/A  

<- view Ultrasound 1

Ultrasound 1: The color doppler examination of the left testitcle one day after trauma. Seen is an inhomogenic, partly hypoechogenic area of contusion with hemorrhaging in the right testicle.



<- view Ultrasound 2

Ultrasound 2: The examination after 2 weeks following trauma shows the hypoechogenic and colliquation areas as a sign of hematomas.




<- view Ultrasound 3

Ultrasound 3: Transverse image 2 weeks following trauma.




<- view Ultrasound 4

Ultrasound 4: 8 weeks after trauma. Obvious regression of the hemolytic eras as well as minimal peritesticular fluid.




<- view Ultrasound 5

Ultrasound 5: As in image 4 with representation of the peritesticular fluid.

 

Imaging including endoscopy  

N/A  

One can expect full recovery after a monitored substitutional therapy with Factor VIII and conservative local therapy.  

The image quality of the first image compared to the others is different since the first image was made at an outside clinic.  

N/A  

N/A  

Testicular trauma, Hematoma, Hemophilia A, Traumatic testicular hematoma, child, childhood, pediatric radiology  

R Mund, H Loertzer. Traumatic testicular hematoma in hemophilia A. PedRad [serial online] vol 2, no. 8.
URL: www.PedRad.info/?search=20020829114051