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An 8-year-old boy was admitted to our emergency department because of scrotal swelling and redness, starting a few hours earlier. No fever, vomiting, abdominal pain, dysuria or local trauma were reported. At examination, he was well, afebrile and complaining of mild scrotal pain evoked at palpation. A thickened and hyperaemic skin of the left scrotal sac extended to groin and perianal region was noted (figure 1). On palpation, testis had a normal volume for the child’s age, and no pain was elicited. Cremasteric reflex was bilaterally valid. The clinical examination was otherwise unremarkable.
Which of the following is the most likely diagnosis in this patient?
Acute idiopathic scrotal oedema.
Which is the most helpful exam?
Protein C reaction.
Blood exams. …
PP, AM, LC, DS, EB and GC contributed equally.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Not required.