Spontaneous testicular hemorrhage: A case report

We report a case of spontaneous testicular hemorrhage. The patient, a 36-year-old man, presented with the chief complaint of pain in the right testis on 1 November, 2005. No history of trauma, infection or other episodes was evident. The right testis was normal in size, but hard and tender on palpation. Ultrasound examination was performed, and a low echoic space occupied by the lesion was recognized. Tumor markers, AFP and LDH were slightly elevated (7.2 ng/ml and 407IU/l, respectively). A malignant tumor could not be excluded, and so we performed an operation for the purpose of diagnosis. Histopathological evaluation was characterized by a hematoma containing seminiferous tubules and no malignancy. We diagnosed spontaneous testicular hemorrhage. We could escape orchiectomy and lead to testicular salvage by rapid pathological examination.