Diagnostic and therapeutic problems of acute scrotum.
In retrospective study of 90 patients operated on for acute unilateral pains in scrotum region and its content--the so-called acute scrotum--during revision torsion of testis was found 48 times (53.3%), torsion of appendix testis 24 times (26.7%), acute epididymitis 17 times (18.9%) and testis tumour in one patient (1.1%). Comparing clinical symptoms, local finding in scrotum and laboratory findings among individual groups of patients a finding which could clearly distinguish torsion from acute epididymitis was not found. If torsion of testis cannot be reliably excluded, immediate revision of scrotum content must be carried out.
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D004823:Epididymitis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012611:Scrotum; D013086:Spermatic Cord Torsion / Q000175:diagnosis*; D013736:Testicular Neoplasms / Q000175:diagnosis*