Abstract
The “acute scrotum” describes a clinical scenario of recent onset scrotal pain with obvious local tenderness or discomfort. There are a number of possibilities and in no particular order, these include Torsion Testis Testicular appendages (e.g., hydatid of Morgagni) Infection Orchitis (e.g., mumpsvirus) Epididymo-orchitis (bacterial) Trauma (includes vaginal delivery and the effects of forceps!) Varicocele Inguinal hernia (either de novo or incarcerated) and acute hydrocele (including that of cord)(Chapter 4.14) Idiopathic scrotal edema Tumor – rare, orchidoblastoma (young), and teratoma (adolescent) Referred pain from loin pathology (testis and kidney − shared heritage)
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Notes
- 1.
Giovanni Battista Morgagni (1682–1771) – Italian anatomist working in Padua.
Further Reading
Davenport M (1996) ABC of general paediatric surgery. Acute problems of the scrotum. Brit Med J 312:435–437
Davenport M, Bianchi A, Gough DC (1989) Idiopathic scrotal haemorrhage in neonates. BMJ 298:1492–1493
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Davenport, M. (2010). The Acute Scrotum. In: Sinha, C., Davenport, M. (eds) Handbook of Pediatric Surgery. Springer, London. https://doi.org/10.1007/978-1-84882-132-3_34
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DOI: https://doi.org/10.1007/978-1-84882-132-3_34
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