Advertisement

European Radiology

, Volume 19, Issue 8, pp 2075–2080 | Cite as

Acute idiopathic scrotal edema: ultrasonographic findings at an emergency unit

  • Aleum Lee
  • Seong Jin Park
  • Hae Kyung Lee
  • Hyun Sook Hong
  • Boem Ha Lee
  • Dae Ho Kim
Urogenital

Abstract

We evaluated the US findings in acute idiopathic scrotal edema (AISE) in order to identify diagnostic features that may help to avoid unnecessary surgical intervention. We investigated 12 boys with AISE diagnosed according to the clinical course and US findings. We assessed the thickness, compressibility, and vascularity of the scrotal wall, the extent of edema, and enlargement of inguinal lymph nodes (LN), and their shape, size, and vascularity. Edematous scrotal wall thickening was observed in all patients. Bilateral thickening was observed in nine patients, and the mean wall thickness was 11.2 mm. Easy compressibility was observed in all patients, and blood flow was increased in 11 patients. Enlargement and hypervascularity of the ipsilateral inguinal LN were observed in all patients. The mean long-axis diameter of the LN was 10.4 mm. The testis and epididymis of patients were normal in most cases. We describe characteristic US findings for AISE, including edema of the scrotal wall with hypervascularity and compressibility, and enlargement of the inguinal LN with hypervascularity. Thus, US may be a useful diagnostic tool to differentiate AISE from other acute diseases of the scrotum.

Keywords

Idiopathic scrotal edema Scrotal swelling Acute scrotum Testis Ultrasonography 

References

  1. 1.
    Shah J, Qureshi I, Ellis BW (2004) Acute idiopathic scrotal oedema in an adult: a case report. Int J Clin Prac 58:1168–1169CrossRefGoogle Scholar
  2. 2.
    Abul F, Al-Sayer H, Arun N (2005) The acute scrotum: a review of 40 cases. Med Princ Pract 14:177–181PubMedCrossRefGoogle Scholar
  3. 3.
    Klin B, Lotan G, Efrati Y, Zlotkevich L, Strauss S (2002) Acute idiopathic scrotal edema in childred-revisited. J Pediatr Surg 37:1200–1202PubMedCrossRefGoogle Scholar
  4. 4.
    Qvist O (1956) Swelling of the scrotum in infants and children, and nonspecific epididymitis. A study of 158 cases. Acta Chir Scand 110:417–421Google Scholar
  5. 5.
    van Langen AM, Gal S, Hulsmann AR, De Nef JJ (2001) Acute idiopathic scrotal oedema: four cases and a short review. Eur J Pediatr 160:455–456PubMedCrossRefGoogle Scholar
  6. 6.
    Evans JP, Snyder HM (1977) Idiopathic scrotal edema. Urology 9:549–551PubMedCrossRefGoogle Scholar
  7. 7.
    Kaplan GW (1977) Acute idiopathic scrotal edema. J Pediatr Surg 12:647–649PubMedCrossRefGoogle Scholar
  8. 8.
    Najmaldin A, Burge DM (1987) Acute idiopathic scrotal oedema: incidence, manifestations and aetiology. Br J Surg 74:634–635PubMedCrossRefGoogle Scholar
  9. 9.
    Dogra VS, Gottlieb RH, Oka M, Rubens DJ (2003) Sonography of the scrotum. Radiology 227:18–36PubMedCrossRefGoogle Scholar
  10. 10.
    Coley BD (2007) Sonography of pediatric scrotal swelling. Semin Ultrasound CT MRI 28:297–306CrossRefGoogle Scholar
  11. 11.
    Aso C, Enríquez G, Fité M, Torán N, Piró C, Piqueras J, Lucaya J (2005) Gray-scale and color Doppler sonography of scrotal disorders in children: an update. Radiographics 25:1197–1214PubMedCrossRefGoogle Scholar
  12. 12.
    Frush DP, Sheldon CA (1998) Diagnostic imaging for pediatric scrotal disorders. Radiographics 18:969–985PubMedGoogle Scholar
  13. 13.
    Gronski M, Hollman AS (1998) The acute paediatric scrotum: the role of colour doppler ultrasound. Eur J Radiol 26:183–193PubMedCrossRefGoogle Scholar
  14. 14.
    Kass EJ, Lundak B (1997) The acute scrotum. Pediatr Clin North Am 44:1251–1266PubMedCrossRefGoogle Scholar
  15. 15.
    Shalaby-Rana E, Lowe LH, Blask AN, Majd M (1997) Imaging in pediatric urology. Pediatr Clin North Am 44:1065–1089PubMedCrossRefGoogle Scholar
  16. 16.
    Varga J, Zivkovic D, Grebeldinger S, Somer D (2007) Acute scrotal pain in children—ten years’ experience. Urol Int 78:73–77PubMedCrossRefGoogle Scholar

Copyright information

© European Society of Radiology 2009

Authors and Affiliations

  • Aleum Lee
    • 1
  • Seong Jin Park
    • 1
  • Hae Kyung Lee
    • 1
  • Hyun Sook Hong
    • 1
  • Boem Ha Lee
    • 1
  • Dae Ho Kim
    • 1
  1. 1.Department of RadiologySoonchunhyang University, Bucheon HospitalGyunggidoKorea

Personalised recommendations