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English Wikipedia
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The diagnosis and treatment of the acute scrotum in children and adolescents Knight PJ; Vassy LEAnn Surg 1984[Nov]; 200 (5): 664-73Diagnosing acute scrotal pain and swelling in children and adolescents is urgent and often difficult. A review of 395 boys hospitalized with acute scrotal pain and/or swelling shows that a useful approach is to divide these patients into four groups--those with intermittent but recurrent episodes of pain, those with pathognomonic physical findings, those with definite epididymitis, and a remaining group with nonspecific swelling and tenderness. Five per cent of boys in this series presented with recurring episodes of scrotal pain; these boys should undergo a simple scrotal operation that yields excellent results. Eight per cent had pathognomonic physical findings; treatment in these boys is straightforward. Eighteen per cent had a definite diagnosis of acute epididymitis (i.e., three nonpathognomonic but suggestive findings of acute epididymitis or two suggestive findings plus a radionuclide scan showing bilateral perfusion); nonoperative therapy is indicated in this group. In the remaining boys, scrotal exploration is the diagnostic (and usually therapeutic) procedure of choice.|*Scrotum[MESH]|Acute Disease[MESH]|Adolescent[MESH]|Child[MESH]|Child, Preschool[MESH]|Emergencies[MESH]|Epididymitis/diagnosis/physiopathology/therapy[MESH]|Humans[MESH]|Infant[MESH]|Male[MESH]|Orchitis/diagnosis/physiopathology/therapy[MESH]|Pain Management[MESH]|Pain/*diagnosis/etiology[MESH]|Recurrence[MESH]|Spermatic Cord Torsion/diagnosis/physiopathology/surgery[MESH] |
