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Vascular closing devices (VCD) were developed as an alternative to mechanical compression devices for hemostasis at arterial access site after cardiac catheterization (CC). We report a case of expanding penoscrotal hematoma compromising blood flow to ipsilateral testicle following a VCD use, an unusual presentation of access site hematoma. The patient was explored emergently and the testicle was salvaged by evacuating the hematoma. This case highlights the importance of early investigation anddoi:10.1016/j.ejvsextra.2011.03.001 fatcat:uctkjgewgfd5xbp3znk2ql2zcq