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Intratesticular haematoma: differentiation from tumour on clinical history and ultrasound appearances in two cases

Department of Radiology, King's College Hospital, Denmark Hill, London SE9 9RS, UK

Correspondence: Dr Paul Sidhu, Department of Radiology, King's College Hospital, Denmark Hill, London SE9 9RS, UK. E-mail: paul.sidhu{at}kingsch.nhs.uk

Intratesticular haematoma is not well described in the ultrasound literature and may be mistaken for a primary testicular malignancy if a detailed clinical history and careful ultrasound examination are not performed. We report two cases of intratesticular haematoma (one complicated by the presence of microlithiasis), describe the ultrasound appearances and document the natural history of the haematomas. A clinical history coupled with Doppler ultrasound features is crucial for conservative management.

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