Acute Scrotum Case History

 
 
A 4 year old boy is brought to the emergency room with a history of 2-3 hours of left scrotal pain.  The child has no history of fever or dysuria (painful urination).  He has never had this pain before. 

The physical exam reveals an otherwise healthy child with tenderness in the left hemiscrotum.  The appearance of the scrotum is shown at the left. 

You should: 
Order a doppler ultrasound of the scrotum 
Take the child to surgery 
Give the child analgesics and reassure the parents
 
 

Return to Normal Development of the Testis/Scrotum.

See Abnormal Development of the Testis/Scrotum.

Return to G/U Development Home Page. 

©David A. Hatch, M.D., 1996