From Big Medical Encyclopedia

GEMATOTSELE (haematocele; Greek haima, haimat[os] blood + kele tumor; synonym blood tumor) — accumulation of blood between parietal and visceral plates of a vulval cover of a small egg (an intravaginalny form) or in fabrics of a scrotum (an ekstravaginalny form). This term designate also accumulation of blood in limited space, napr, between leaves of a wide ligament of uterus, in duglasovy space.

The etiology

G. arises owing to an injury of a scrotum, after a puncture of a blood vessel at a puncture of a vulval cover of a small egg (e.g., for removal of liquid at the gidrotsel), or at a biopsy of a small egg at hron, the hemorrhagic inflammation of a vulval cover of a small egg which is followed by hemorrhage in a cavity of a cover and education on its inner surface of granulyatsionny fabric with richly developed network of capillaries.

Pathological anatomy

Pathoanatomical changes are various depending on G. Vnachale's prescription find the turned blood, later — brown old blood and kashitseobrazny weight. Further there is an organization of clots to considerable growth of connecting fabric, sometimes to education in it limy, cartilaginous or bone plaques; owing to a prelum and disturbance of blood circulation of a small egg there can come its atrophy.

The clinical picture

At an intravaginalny form after an injury is quickly formed not translucent — unlike the gidro-tsel — painful «tumor»; its size can be so considerable that the small egg is not probed. At an ekstravaginalny form, except «tumor», the hemorrhage in skin of a scrotum sometimes extending to a hip and inguinal area is observed. From complications G.'s infection

== the Differential diagnosis == is more often observed It is necessary to distinguish G. from to a gidrotsela (see), inflammatory processes scrotums (see), inguinal hernia (see. Hernias ), new growths and an inflammation of a small egg and its appendage (see. Small egg ).


Right after developing of hemorrhage is recommended by rest, cold for a scrotum. G.'s puncture is usually ineffective since bleeding often renews. Besides, after a puncture the hematoma quite often suppurates. Surgical intervention is shown in the absence of effect of conservative treatment, at G.'s suppuration, extensive development of calcification and consolidation of a cover (for the prevention of a secondary atrophy of a small egg).

The forecast at it is timely carried out to lay down. actions it is favorable.

Bibliography: The guide to clinical urology, under the editorship of A. Ya. Pytel, page 482, M., 1970, bibliogr.; Klinische UrOlogie * hrsg. v. G. E. Alken u. W. Staehler, S. 484, Stuttgart, 1973.

A. A. Buchmann