Dirk Schaper, V. Hofmann (Halle/S.)  

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7 Years  

Male  

Pelvis-Testis  

unknown  

7 year-old boy with acute swelling and redness of the left hemiscrotum without apparent cause. Slight tension tenderness.
Blood count, CRP, BSR normal.  

Etiology unknown, possible connection to an allergic reaction in the course of a purpura Schoenlein-Hennoch (symptom has been described various times).  

<- view Ultrasound

Ultrasound 1: B-mode depiction of the massively thickened scrotal wall, striped, heterogenic marking, partly decreased echoes as an expression of an edema. Testicles and epididymis inconspicuous.



<- view Ultrasound 2

Ultrasound 2: Doppler sonography, considerable increase in vascularisation of the scrotal wall, vascularisation in the testicles and epididymis was inconspicuous.

 

Total constellation (Consens)  

Scrotal swelling in an inflammatory disease. Fournier's gangrene.  

After other scrotal or testicular causes and self-limiting illnesses were dismissed, immobilization and local cooling. The patient recovered quickly.
In up to 90% - one-sided with obvious preference of the left side.  

Through shown sonographic examinations and the use of doppler sonography, one can avoid unneccessary surgical revisions.  

vist,O. Swelling of the scrotum in infants and children, and nonspecific epididymitis. A study of 158 cases. Acta Chir Scand 110:417-421, 1956  

1. Medline:
Baruch Klin, Gad Lotan, Yigal Efrati, Lev Zlotkevich, Simon Strauss
Acute idiopathic srotal edema in children - revisited
J Ped Surg Vol 37 No8 2002 1200-1202  

Testicles, acute scrotum, scrotal edema, testis, idiopathic acute scrotal edema, idiopathic, acute scrotal edema, testicular pain, swelling, redness, child, childhood, pediatric radiology  

Dirk Schaper, V Hofmann. Idiopathic acute scrotal edema. PedRad [serial online] vol 3, no. 3.
URL: www.PedRad.info/?search=20030311145908