Massive scrotal hematoma following transfemoral cardiac catheterization
Thomas, A.A.; Hedgepeth, R.; Sarac, T.P.; Vasavada, S.P.
Canadian Journal of Urology 15(2): 4020
2008
ISSN/ISBN: 1195-9479 PMID: 18405454 Document Number: 619953
Scrotal hematoma is a rare and unusual complication of transfemoral cardiac catheterization. We describe the case of a 43-year-old man who presented with a delayed retroperitoneal hemorrhage and massive scrotal hematoma following cardiac catheterization. Emergent groin exploration was performed with ligation of the inferior epigastric artery and evacuation of the scrotal hematoma. Urological sequelae from transfemoral arterial access are rare. However, scrotal hematoma may occur if bleeding occurs between anatomic fascial planes.