• Emerg. Med. Clin. North Am. · Aug 2001

    Review

    The nontraumatic, acute scrotum.

    • D Marcozzi and S Suner.
    • Brown University School of Medicine, Department of Emergency Medicine, Rhode Island Hospital, Providence, Rhode Island, USA.
    • Emerg. Med. Clin. North Am. 2001 Aug 1; 19 (3): 547-68.

    AbstractRegardless of age, any presentation of an acute scrotum requires prompt triage and immediate evaluation. The potential for significant reduction in morbidity and mortality exists if timely diagnosis and treatment are provided. Often overlooked, an early scrotal examination in the emergency department may produce the most accurate information into the underlying pathologic process, be it systemic or localized to the scrotum. Although the immediately lethal conditions presenting as acute scrotal pain should be considered, the combined incidence and morbidity associated with testicular torsion make its exclusion paramount in acute scrotal presentations. Similarly, a painless scrotal mass must be assumed to be a testicular neoplasm until proven otherwise, with appropriate work-up and rapid urologic follow-up assured.

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