Acute scrotal swelling is typically associated with direct testicular injury, torsion of the testes or appendages, epididymitis, hydroceles, and hernias.  Swelling resulting from hemoscrotum or hematocele after direct testicular trauma is well described in the literature. [2,3] Blood in the scrotum from blunt abdominal or thoracic injury secondary to splenic laceration and communicating hematocele in the pediatric population has been previously reported on two occasions. [4,5] Both were identified only after surgical exploration. We report the case of a 10-year-old boy who developed scrotal swelling that represented blood from a splenic laceration secondary to blunt trauma.
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