Rare Manifestations of Acute Scrotum- A Case Report

Abstract

Acute scrotum is referred to patients presenting with acute pain or swelling in scrotum or its contents. Clinical evaluation and appropriate radiological investigations helps us to pin point the aetiology of acute scrotum. Male genitourinary cases range from 0.5-2.5% of all emergency cases, although very few cases report the incidence of acute scrotum. Purpose of this case report is to highlight two very rarely reported events presented as scrotal pain and testicular swelling in a 39-year-old male and a 31-year-old- male patient. After radiological examination a diagnosis of acute scrotum was made. Commonly causation is attributed to either acute torsion or acute epididymo-orchitis. Routinely, management of acute scrotum include colour doppler scrotum, based on its findings further treatment is decided either surgical exploration or conservative treatment. Early evaluation and timely management is imperative in preserving the viability of gonads.

Keywords

• acute torsion
• scrotal pain
• surgical exploration
• testicular swelling