Acute Idiopathic Scrotal Edema: A 10-year period retrospective study
The Gazette of Medical Sciences
Objective: To report a case series of children diagnosed of Acute Idiopathic Scrotal Edema in a secondary referred hospital over a 10-year period, including the description of its clinical manifestations, management and evolution of this condition. Methods: A retrospective chart review was performed. It was found to include 11 patients, between 19 months and 12 years old, who presented scrotal edema and/or erythema with no self-explanatory trigger. Results: On physical examination all patients
... ation all patients were found to have sudden onset of scrotal swelling and/or erythema despite normal testicular and epididymal inspection. 73% of the patients experienced mild pain. In most cases, localization was unilateral. A personal history of atopic diseases and/or allergies was present in 82% of the patients. Scrotal ultrasound was performed in all patients with suspected acute scrotum. Marked bilateral scrotal wall thickening and increased peritesticular blood flow visible on color Doppler (Fountain's sign) were detected in all patients. No other abnormalities were observed except for one case in which there was a clinical suspicion of decreased flow in the right testis (not confirmed in subsequent studies). Conclusion: Acute idiopathic scrotal edema is a benign self-limiting condition commonly seen in prepubertal boys. Given its clinical features it should be considered within the differential diagnosis of acute scrotum.