Acute Scrotal Pain: Clinical Features

  • Vincenzo Mirone
  • Paolo Verze
  • Davide Arcaniolo
Part of the Medical Radiology book series (MEDRAD)


Acute scrotum is defined as an acute painful swelling of the scrotum or its contents, and is accompanied by local signs and general symptoms. Acute scrotal pain with or without swelling and erythema in child or adolescent male should always be treated as an emergency condition. The most frequent differential diagnosis of an acute scrotum includes spermatic cord torsion, torsion of testicular appendages, epididymo-orchitis, and trauma. The cause of an acute scrotum can usually be established based on careful history, physical examination, and appropriate diagnostic tests. The onset, character, and severity of symptoms should be clearly established to determine the appropriate and timely management. A correct diagnosis is mandatory as treatment options could differ dramatically depending on the disease process. Among these conditions, the spermatic cord torsion is of major concern because it requires immediate surgical intervention to avoid testicular loss.


Lower Urinary Tract Symptom Spermatic Cord Testicular Torsion Tunica Albuginea Scrotal Pain 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Vincenzo Mirone
    • 1
  • Paolo Verze
    • 1
  • Davide Arcaniolo
    • 1
  1. 1.Urologic Clinic, University Federico II of NaplesNaplesItaly

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