engleski

Acute scrotum in children

Acute scrotum is a clinical syndrome presenting with acute painful oedema of scrotum often accompanied by general symptoms. The cause of this condition can be many diseases which are well known clinical entities. The most common pathological entities causing acute scrotum are ischemia (testicular torsion, torsion of appendix testis or epididymis), trauma (testicular rupture, intratesticular hematoma, contusion of testicle, hematocela), infections (acute epididymitis, acute epididymoorchiitis, acute orchiitis), inflamatory conditions (Henoch-Schonlein purpura, fatty necrosis), hernia (incarcerated inguinal hernia with or without testicular ischemia) and finally acute or chronical conditions that can lead to acute scrotum (spermatocele, hydrocele, testicular tumors, varicocele). Furthermore, with differential diagnosis of acute scrotum being very wide, detailed anamnesis from patient/parents and detailed physical examination can accurately define the cause of diagnosis and the best required treatment. Besides the anamnesis and detailed physical examination ultrasound of indicated region, color doppler and laboratory findings (quantitative and qualitative urin screening and blood tests) can be helpful. In majority of children surgical exploration is necessary and is not only therapeutic but also diagnostic.

CHILD ; PAIN ; SCROTUM

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