Acute Scrotum

Table Of Contents

Acute Scrotum

An acute scrotum is defined as sudden onset pain or swelling or tenderness of the scrotum or its contents

  • Differentials
    • Spermatic cord torsion (testicular torsion)
    • Appendage torsion (Appendix, Epididymis)
    • Epididymitis
    • Orchitis
    • Trauma
    • Inguino-scrotal Hernia
    • Hydrocele
    • Intra-scrotal mass (cyst tumor)
    • Referred pain (Ureteral calculi)

Differentials for scrotal swelling

Characteristic of the swellingDifferentials
Swelling on the scrotumSebaceous cyst
Painful swelling in the scrotumTorsion of testis, Torsion of hydatid of morgagni, Epididymitis, Orchitis
Hard, painless swelling in scrotumTumor, Syphilis, Tuberculosis, Hematoma
Soft swelling in scrotumVaricocele, epididymal cyst, hydrocele
Swelling that extends above the scrotumHernia
Dr. Jeffrey Kalei
Dr. Jeffrey Kalei

Author and illustrator for Hyperexcision. Interested in emergency room medicine. I have a passion for medical education and drawing.

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