Serious Scrotal Hematoma Due to Injury of Inferior Epigastric Artery

The inferior epigastric artery branches from the external iliac artery just above the inguinal ligament. A 50-year-old man presented with scrotal swelling after catheter ablation, and a computed tomography scan revealed a scrotal hematoma and extravasation from the inferior epigastric artery. Emergent coil embolization was performed, and the scrotal hematoma was managed conservatively. Accidental puncture of the inferior epigastric artery during femoral vein puncture may result in a scrotal hematoma because of bleeding through the inguinal canal. It is important to understand the anatomy around the inguinal region to prevent a high puncture.