TY - JOUR T1 - Child with a non-painful red scrotum JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 38 LP - 40 DO - 10.1136/archdischild-2019-316809 VL - 106 IS - 1 AU - Paola Pascolo AU - Andrea Magnolato AU - Lorenzo Calligaris AU - Daniela Sanabor AU - Egidio Barbi AU - Giorgio Cozzi Y1 - 2021/02/01 UR - http://ep.bmj.com/content/106/1/38.abstract N2 - 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.Figure 1 Thickened and hyperaemic skin of the scrotal sac extended to groin.Which of the following is the most likely diagnosis in this patient?Testicular torsion.Henoch-Schonlein purpura.Inguinal hernia.Acute idiopathic scrotal oedema.Epididymitis.Which is the most helpful exam?Protein C reaction.Scrotal ultrasound.Urinalysis.Surgical exploration.Blood exams. … ER -