Acute Scrotum in Paediatric: Clinical Profile and Management

These flashcards cover essential information regarding acute scrotum in pediatric patients, including definitions, symptoms, management approaches, and outcome statistics.

What is the definition of acute scrotum?

Acute scrotum refers to acute scrotal pain which should be treated as an emergency due to the risk of testicular torsion and ischemic damage.

What are the three most common causes of acute scrotum?

The three most common causes are testicular torsion, epididymoorchitis, and torsion of testicular appendage.

What is the significance of testicular torsion in acute scrotum cases?

Testicular torsion is the most serious condition that requires urgent diagnosis and treatment to save the testis and prevent fertility issues.

What are the common symptoms associated with acute scrotum?

Common symptoms include pain (100%), swelling (90.8%), and fever (46.1%).

What percentage of patients underwent surgical exploration in the study?

Surgical exploration was performed in 64.5% of the patients.

What was the salvage rate for testicular torsion if surgery was performed within 24 hours?

The salvage rate for testicular torsion was 38.5%, with most viable testicles operated on within 24 hours of symptom onset.

What is the most common diagnosis found in patients with acute scrotum according to the study?

The most common diagnosis was epididymoorchitis, accounting for 39.5% of the cases.

What were the common signs observed during physical examination of patients?

Common signs included tenderness (96.1%), erythema (82.9%), and oedema (80.3%).

How was the final diagnosis confirmed in the cases studied?

The final diagnosis was made using Doppler ultrasound and/or surgical exploration.

Why is testicular torsion challenging to diagnose?

Testicular torsion cannot be consistently confirmed or ruled out by history and clinical examination due to overlapping signs and symptoms.