Acute scrotal pain in pediatric emergency medicine: Assessment, diagnosis, management, and treatment

Edward C. Diaz, Deborah Kimball, Edward M. Gong*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Acute scrotal pain is frequently encountered within pediatric emergency medicine and requires thoughtful and timely evaluation. The differential diagnosis for scrotal pain is broad and includes conditions such as epididymitis, torsion of the appendix testis, testicular torsion, trauma, and incarcerated hernia. Some of these conditions represent surgical emergencies and thus need to be identified expeditiously. Obtaining a careful history and physical examination is essential to the evaluation of a child with acute scrotal pain. A good clinical history and examination in combination with appropriate diagnostic tests provide the best method for obtaining an accurate diagnosis. Using 2 case-based scenarios, we will discuss important conditions, components to the evaluation, and management of a child with acute scrotal pain.

Original languageEnglish (US)
Pages (from-to)248-260
Number of pages13
JournalClinical Pediatric Emergency Medicine
Volume15
Issue number3
DOIs
StatePublished - Sep 1 2014

Keywords

  • Epididymitis
  • Scrotal pain
  • Scrotal trauma
  • Testicular torsion
  • Torsion of the appendix testes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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