Acute Scrotum | ScienceGate

Abstract One of the most common urological emergencies encountered in pediatric patients in the emergency department (ED) is the acute scrotum. We present the case of a 4-month-old male that presented to our community ED with scrotal swelling and vomiting of 16-hours duration. He was diagnosed with a functional testicular torsion from an incarcerated inguinal hernia, transferred to a hospital with pediatric urological capabilities and was taken to the operating room ~2 hours later. His hospital course was unremarkable, and he was discharged on day 3, having made a full recovery without any loss of bowel or testicle. There have only been a handful of cases in the literature of a pediatric patient presenting with a functional testicular torsion as a result of spermatic cord compression from an indirect inguinal hernia, with no reported cases of complete salvage at nearly 18 hours since symptom onset.

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Causes of delayed exploration of the acute scrotum in a regional tertiary centre

Journal of Clinical Urology ◽

10.1177/2051415820981196 ◽

2020 ◽

pp. 205141582098119

Author(s):

Benjamin Storey ◽

Nathan Shugg ◽

Alison Blatt

Keyword(s):

Retrospective Review ◽

Testicular Torsion ◽

Tertiary Hospital ◽

Adverse Outcomes ◽

Acute Scrotum ◽

Tertiary Institution ◽

Level Of Evidence ◽

Scrotal Pain ◽

Surgical Exploration ◽

Significant Difference

Background: Testicular torsion is an organ-threatening surgical emergency with a limited timeframe for intervention. Objective: To identify the delays to surgical exploration of patients with an acute scrotum in a tertiary hospital to prevent adverse outcomes associated with this time critical emergency. Methods: A retrospective review of medical records for all patients who underwent scrotal exploration for acute scrotal pain in a tertiary hospital in regional New South Wales between January 2008 to December 2018 was performed. Results: Retrospective review identified 242 patients, of whom 161 had testicular torsion and 56 resultant orchidectomies. No statistically significant difference in pre-hospital delays between paediatric or adult populations was found. The average time from presentation to theatre was 4 h 36 min. Patients who were delayed > 6 h from presentation to surgical exploration had significantly increased rates of orchidectomy. Delays that significantly affected rates of orchidectomy were transfer from peripheral sites, late presentation, misdiagnosis and representation after discharge. Conclusion: The most common reason for delay was diagnostic error with the patient later re-presenting to hospital. Patient transfer from the primary hospital to a tertiary institution and subsequent delayed surgical exploration also contributed to significantly higher rates of orchidectomy. Level of Evidence: 3

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Reply to “Acute scrotum in a 8‐ year‐ old Italian child caused by extraintestinal anisakiasis in a seaside area”

Allergy ◽

10.1111/all.14572 ◽

2021 ◽

Vol 76 (5) ◽

pp. 1603-1603

Author(s):

Ryo Morishima

Keyword(s):

Acute Scrotum ◽

Italian Child

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Tension hydrocele as an additional cause of acute scrotum: case series and literature review

Abdominal Radiology ◽

10.1007/s00261-019-01991-8 ◽

2019 ◽

Vol 45 (7) ◽

pp. 2082-2086 ◽

Cited By ~ 1

Author(s):

Jeries P. Zawaideh ◽

Michele Bertolotto ◽

Massimo Giannoni ◽

Giovanni Piaggio ◽

Felice Durand ◽

...

Keyword(s):

Literature Review ◽

Case Series ◽

Acute Scrotum

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Henoch-Schönlein purpura without systemic involvement beginning with acute scrotum and mimicking torsion of testis

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2013.1.50 ◽

2013 ◽

Vol 85 (1) ◽

pp. 50 ◽

Cited By ~ 8

Author(s):

Levent Verim ◽

Filiz Cebeci ◽

M. Remzi Erdem ◽

Adnan Somay

Keyword(s):

Medical Literature ◽

Systemic Vasculitis ◽

Complete Recovery ◽

Lower Limbs ◽

Acute Scrotum ◽

Scrotal Pain ◽

Systemic Involvement ◽

Small Vessels ◽

Skin Symptoms ◽

Schonlein Purpura

Henoch-Schönlein purpura (HSP) is the most common systemic vasculitis in children. Typical presentations of HSP are palpable purpura of the small vessels in the hips and lower limbs, abdominal pain, arthritis, and hematuria. Scrotal involvement manifested by the presence of scrotal pain and swelling during the course of the disease is rarely seen. HSP without systemic involvement with acute scrotum mimicking testicular torsion is even rare in the medical literature. In most cases, patients with this disease achieve complete recovery. Herein, we report an interesting HSP case with skin symptoms but without systemic involvement and then progression to acute scrotum resembling torsion of testis.

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