title: Acute Scrotal Swelling in Henoch-Schonlein Purpura: Case Report and Review of the Literature.
abstract: Henoch-Schönlein purpura (HSP) is a systemic vasculitis characterized classically by purpura, arthritis and abdominal pain. Epididymitis/orchitis is rarely seen as a complication of HSP. Testicular or scrotal involvement has been reported in children with Henoch-Schonlein purpura and must be distinguished from testicular torsion. We report a case of a 5 year old boy diagnosed with Henoch-Schönlein purpura with acute scrotal swelling. He was managed successfully with conservative approach. The history, clinical examination findings and scrotal ultrasound evaluation should suffice to make the correct diagnosis and avoid surgery. Steroid treatment and/or antibiotics appeared to be effective for this condition.
authors.affiliation: Rockhampton Base Hospital, Rockhampton, Australia.
authors.forename: Sunny
authors.initials: S
authors.lastname: Modi
authors.affiliation: Rockhampton Base Hospital, Rockhampton, Australia.
authors.forename: Muhunthan
authors.initials: M
authors.lastname: Mohan
authors.affiliation: Rockhampton Base Hospital, Rockhampton, Australia.
authors.forename: Andrew
authors.initials: A
authors.lastname: Jennings
keywords: Acute scrotal swelling; Epididymo-orchitis; HSP orchitis; Henoch-Schonlein purpura