Urologic radiology

, Volume 9, Issue 1, pp 249–252 | Cite as

Scrotal enlargement following inguinal herniorrhaphy: Ultrasound evaluation

  • Ann Archer
  • Peter L. Choyke
  • Walter O’Brien
  • William C. Maxted
  • Edward G. Grant


Although sonography has become an established modality in the evaluation of acute and chronic scrotal abnormalities, its role in the post-herniorrhaphy patient with scrotal swelling has not yet been defined. We present 5 patients with immediate and delayed complications of herniorrhaphy in which sonography provided useful clinical information. Immediate complications included scrotal hematomas, scrotal wall and septal thickening, epididymitis, and testicular displacement. Delayed complications included an infected hydrocele demonstrating a fluid-debris level. The etiology of scrotal swelling in postherniorrhaphy patients can be determined with sonography.

Key words

Sonography Herniorrhaphy Hematoma Scrotal edema Hydrocele 


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  1. 1.
    Rydell W, Hanover WH: Inguinal and femoral hernias.Arch Surg 87:150–157, 1963Google Scholar
  2. 2.
    Hricak H, Hoddick WK: Scrotal ultrasound. In Hricak H (ed):Genitourinary Ultrasound. New York: Churchill-Livingstone, 1986, pp 219–240Google Scholar
  3. 3.
    Krone K, Carroll B: Scrotal ultrasound.Radiol Clin N Am 23:121–139, 1985PubMedGoogle Scholar
  4. 4.
    Hricak H, Jeffrey RB: Sonography of acute scrotal abnormalities.Radiol Clin N Am 21:595–603, 1983PubMedGoogle Scholar
  5. 5.
    Hricak H, Filly RA: Sonography of the scrotum.Invest Radiol 18:112–121, 1983PubMedCrossRefGoogle Scholar
  6. 6.
    Pollack R, Nyhus LM: Complications of groin hernia repair.Surg Clin N Am 63:1363–1371, 1983Google Scholar
  7. 7.
    Cunningham J: Sonographic findings in clinically unsuspected acute and chronic scrotal hematocele.AJR 140:749–752, 1983PubMedGoogle Scholar
  8. 8.
    Wantz GE: Complication of inguinal hernia repair.Surg Clin N Am 64:287–298, 1984PubMedGoogle Scholar
  9. 9.
    Pintauro W, Klein F, Vick CW, Brocker B: The use of ultrasound for evaluating subacute unilateral scrotal swelling.J Urol 133:779–802, 1985Google Scholar
  10. 10.
    Vick CW, Bird K, Rosenfield A, Klein F, Schneider V, Walsh J, Brewer W: Extratesticular hemorrhage associated with torsion of the spermatic cord: sonographic demonstration.Radiology 158:401–404, 1986PubMedGoogle Scholar
  11. 11.
    Holder L, Melloul M, Chen DCP: Current status of radionuclide scrotal imaging.Sem Nucl Med 11:232–249, 1981CrossRefGoogle Scholar
  12. 12.
    Chen DCP, Holder L, Melloul M: Radionuclide scrotal imaging. Part I: anatomy, pathophysiology, and methods.J Nucl Med 24:735–742, 1983PubMedGoogle Scholar
  13. 13.
    Chen DCP, Holder L, Melloul M: Radionuclide scrotal imaging. Part II: results and discussion.J Nucl Med 24:841–853, 1983PubMedGoogle Scholar
  14. 14.
    Taylor KJW, Burns PN, Woodcock JP, Wells PNT: Blood flow in deep abdominal and pelvic vessels: ultrasonic pulsed Doppler analysis.Radiology 154:487–493, 1985PubMedGoogle Scholar
  15. 15.
    Wetzner SM, Kiser LC, Bezrek JS: Duplex ultrasound imaging: Vascular application.Radiology 150:507–514, 1984PubMedGoogle Scholar
  16. 16.
    O’Leary OH: Vascular ultrasonographyRadiol Clin N Am 23(1):35–56, 1985Google Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • Ann Archer
    • 1
  • Peter L. Choyke
    • 1
    • 3
  • Walter O’Brien
    • 2
  • William C. Maxted
    • 2
  • Edward G. Grant
    • 1
  1. 1.Department of RadiologyGeorgetown University HospitalWashington, D.C.
  2. 2.Department of UrologyGeorgetown University HospitalWashington, D.C.
  3. 3.Department of RadiologyNational Institutes of HealthBethesdaUSA

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