Acute Scrotal Conditions

The acutely enlarged scrotum can present a challenge even to the most skilled examiner.  Diagnostic possibilities include incarcerated inguinal hernia, acute hydrocele, torsion of the testis or the appendix testis and epididymitis.

 

With an incarcerated inguinal hernia the infant is often irritable and becomes more so when attempts at reduction are made.  The skin overlying the hernia is often erythematous but usually not particularly edematous and is usually not discolored unless strangulation has occurred.  Gentle palpation of the testis does not cause pain.  Transillumination is equivocal or absent. more...

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