scholarly journals Unusual Cause of Acute Scrotal Pain-Inflammatory Noncommunicating Hydrocele: A Pediatric Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Yoshinobu Moritoki ◽  
Kentaro Mizuno ◽  
Taiki Kato ◽  
Takahiro Yasui ◽  
Yutaro Hayashi

The etiology of scrotal pain is clinically classified in terms of the necessity for emergency surgery. Lately, color Doppler ultrasonography has reduced unnecessary surgeries, but there are still some cases that require immediate exploration because of an uncertain diagnosis. Here, we describe the case of a 14-month-old boy, who could not deliver his complaint accurately, presenting with a grumpy mood and a red swollen scrotum. Emergency surgery revealed that the cause was intense inflammation of the hydrocele wall, which typically does not cause acute scrotum. We also reviewed rare etiologies of scrotal pain for general physicians to develop the differential diagnosis.

2021 ◽  
Vol 74 (1-2) ◽  
pp. 38-40
Author(s):  
Daniela Donat ◽  
Slobodan Torbica ◽  
Sandra Trivunic-Dajko ◽  
Viktor Till

Introduction. Epididymal torsion is a rare cause of acute scrotum. Only a few cases have been described in the literature, and preoperative ultrasound diagnosis was done only in two cases. So far, according to our data, cases of epididymal torsion in adults have not previously been reported in the literature. Case Report. We report the case of a 39-year-old man, who was admitted to the hospital for pain in the left hemiscrotum lasting for three days. The physical examination revealed a swelling limited to the left hemiscrotum, so the patient was referred for an ultrasound examination with the diagnosis of epididymitis. The ultrasonography showed that the left epididymis was significantly enlarged in the head area with and heterogeneous structure of the parenchyma on a grayscale, without a significant Color Doppler signal. At the level of the neck and the body of the epididymis, there was a ?whirlpool sign? with a reactive hydrocele and edema of the left scrotum soft tissue that was highly suspicious for torsion of the epididymis. The patient underwent emergency surgery and epididymal torsion of about 540 degrees was confirmed intraoperatively. Conclusion. The torsion of the epididymis should be kept in mind in the differential diagnosis of acute scrotal pain in adults.


2017 ◽  
Vol 36 (1) ◽  
pp. 53-59
Author(s):  
Myoung Seok Lee ◽  
Jeong Yeon Cho ◽  
Sang Youn Kim ◽  
Seung Hyup Kim ◽  
Joong Shin Park ◽  
...  

2016 ◽  
Vol 38 (3) ◽  
Author(s):  
Marta Peretti ◽  
Arianna Mariotto ◽  
Gabriella Scirè ◽  
Elisa Pani ◽  
Silvia Zambaldo ◽  
...  

Torsion of a wandering spleen is a rare cause of acute abdomen in children, usually diagnosed with color-Doppler ultrasonography and enhanced computed tomography. We report a pediatric case of torsion of wandering spleen.


1992 ◽  
Vol 147 (1) ◽  
pp. 89-91 ◽  
Author(s):  
D.M. Dewire ◽  
F.P. Begun ◽  
R.K. Lawson ◽  
S. Fitzgerald ◽  
W.D. Foley

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Micheál Breen ◽  
Kevin Murphy ◽  
Jeanne Chow ◽  
Eamon Kiely ◽  
Kevin O’Regan

We report a case of acute idiopathic scrotal edema (AISE) in a 4-year-old boy who presented with acute scrotal pain and erythema. The clinical features, ultrasound appearance, and natural history of this rare diagnosis are reviewed. In this report, we highlight the importance of good ultrasound technique in differentiating the etiology of the acute scrotum and demonstrate the color Doppler “Fountain Sign” that is highly suggestive of AISE.


2000 ◽  
Vol 91 (5) ◽  
pp. 506-513
Author(s):  
Kazuhiko Komori ◽  
Masahisa Ikegami ◽  
Akira Iwasaki ◽  
Jiro Kajikawa ◽  
Tomomi Kishimoto

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