scholarly journals Acute scrotum in children - diagnosis and treatment

2018 ◽  
Vol 19 (1) ◽  
pp. 8-12
Author(s):  
Šimon Reich ◽  
Jan Kříž ◽  
Hana Kolářová ◽  
Jan Trachta
Keyword(s):  
Diagnosis And Treatment ◽  
Acute Scrotum

Approach to Male Urologic Emergencies

2019 ◽  
Author(s):  
Jonathan E. Davis ◽  
Jeffrey S. Dubin
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Necrotizing Fasciitis ◽  
Testicular Torsion ◽  
Diagnosis And Treatment ◽  
Acute Scrotum ◽  
Scrotal Pain ◽  
Penile Pain ◽  
Emergency Department Setting ◽  
Acute Scrotal Pain

This review details the evaluation and management of the acute scrotum in the emergency department setting and emergent penile complaints in adults, with an emphasis on the most serious and most common conditions. Other emergent conditions include necrotizing fasciitis of the perineum (Fournier disease), incarcerated or strangulated inguinal hernia, and genitourinary (GU) trauma. Emergency practitioners need to be most concerned with the entities that, if left untreated, can result in ischemia and necrosis of the penis. Basic anatomy and bedside evaluation are reviewed. Acute scrotal and penile pain and GU trauma are discussed in terms of assessment and stabilization, diagnosis, and treatment and disposition.  This review contains 5 figures, 19 tables, and 71 references. Keywords: Acute scrotal pain, testicular torsion, priapism, Peyronie disease, paraphimosis, phimosis, balanitis, posthitis, epididymitis

scholarly journals Different presentation types of primary Brucella epididimo-orchitis

2015 ◽  
Vol 87 (2) ◽  
pp. 151
Author(s):  
Huseyin Aydemir ◽  
Gokcen Budak ◽  
Salih Budak ◽  
Orcun Celik ◽  
Okan Yalbuzdag ◽  
...  
Keyword(s):  
Zoonotic Disease ◽  
Diagnosis And Treatment ◽  
Treatment Modalities ◽  
Acute Scrotum ◽  
Laboratory Findings ◽  
Genitourinary System ◽  
Endemic Disease ◽  
Different Types

Brucellosis is a zoonotic disease that involved genitourinary system in 2-20% and most commonly cause single sided epididymo-orchitis. In our country Brucella is an endemic disease and causes serious and different diagnosis of acute scrotum and epididy-moorchitis. In this paper six cases of epididymo-orchitis cases which were resistant to classical treatment were discussed according to clinical and laboratory findings. We describe different types of presentation of Brucella epididymoorchitis with diagnosis and treatment modalities.

scholarly journals Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion

POCUS Journal ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 70-72
Author(s):  
Rahul V. Nene ◽  
Rachna Subramony ◽  
Michael Marcias ◽  
Colleen Campbell ◽  
Amir Aminlari
Keyword(s):  
Blood Flow ◽  
Real Time ◽  
Testicular Torsion ◽  
Point Of Care ◽  
Diagnosis And Treatment ◽  
Acute Scrotum ◽  
Point Of Care Ultrasound ◽  
Scrotal Pain ◽  
Real Time Analysis ◽  
Acute Scrotal Pain

Background: Testicular torsion is a surgical emergency that needs prompt diagnosis and treatment. Point-of-Care ultrasound (POCUS) can not only establish the diagnosis but also guide the Emergency Physician in evaluating the response to manual detorsion. Case Report: We describe the case of a 13-year-old male who presented with acute scrotal pain. We demonstrate how bedside ultrasound was used to make the diagnosis of testicular torsion, guide the technique for manual detorsion, and confirm adequate return of blood flow. Our case illustrates the ease with which POCUS can be used in real time to diagnose and treat organ-threatening pathology, but more importantly, it shows how real-time POCUS was used to detorse a testicle that was refractory to the standard detorsion technique. Conclusion: The acute scrotum is a time-sensitive presentation and if testicular torsion is present, the diagnosis should be made as soon as possible. Many Emergency Departments do not have 24-hour coverage of ultrasound technicians, which would delay the diagnosis and treatment. Moreover, when manual detorsion is attempted, it often does not work because the testicle may need more than the standard 180 degree medial to lateral rotation. POCUS provides real-time analysis of return of blood flow and can thus guide further rotation, or opposite direction rotation, as needed.  

scholarly journals Torsion of a Communicating Hydrocele Presented as Acute Scrotum: A Case Report and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Ivonete Siviero ◽  
Ivens Baker Méio ◽  
Saulo Marcos Rebello Ferrante ◽  
Danielle Nunes Forny ◽  
André Lima da Cunha
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Cystic Mass ◽  
Diagnosis And Treatment ◽  
High Ligation ◽  
Acute Scrotum ◽  
Operative Findings ◽  
High Index Of Suspicion

Torsion of a communicating hydrocele is extremely rare, and the cause is unclear. We report the case of a 3-year-old boy referred to us with acute scrotum. Operative findings revealed torsion of a communicating hydrocele with a 360-degree rotation of the distal end. We performed surgical excision of the necrotic cystic mass and high ligation of the peritoneal communication. A high index of suspicion is required for the correct diagnosis and treatment of this condition, which should be included among the causes of acute scrotum in childhood.

Aortic root aneurysm. Diagnosis and treatment

JAMA ◽  
1966 ◽  
Vol 197 (2) ◽  
pp. 133-134 ◽  
Author(s):  
H. Najafi
Keyword(s):  
Aortic Root ◽  
Diagnosis And Treatment ◽  
Aortic Root Aneurysm
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