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Background: Scrotal ultrasound, though reliable in distinguishing between intratesticular and extratesticular lesions and characterizing them as cystic and solid, cannot distinguish benign from malignant pathology. Although fine needle aspiration cytology (FNAC) has proved to be of great diagnostic importance in testicular lesions, its scope in extratesticular lesions is largely unexplored.

Aim: To evaluate extratesticular scrotal lesions cytologically and compare it with their clinical, radiological, and histological findings.

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Occult splenic rupture presenting as acute scrotal swelling.

J Emerg Med

September 2012

Department of Emergency Medicine, Newton-Wellesley Hospital, Newton, MA 02462, USA.

Background: Scrotal pain and swelling is a common complaint encountered in emergency medicine. The differential diagnosis includes testicular, scrotal, and intra-abdominal pathology.

Case Report: We present a case of an 80-year-old man on warfarin therapy presenting with acute atraumatic scrotal pain and swelling initially diagnosed as a hydrocele.

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