What Are The Causes Of Acute Scrotum In Boys?

We know acute scrotum as a condition in baby boys or children that manifests as inflammation and pain in this part of their body. It can be caused by various pathologies, some of which can be medical emergencies and require prompt action. Here we will tell you about the most common causes of acute scrotum.

Acute scrotum due to testicular torsion

In testicular torsion, the spermatic cord, which supplies blood to the testicles, curls up. It is the most common cause of acute scrotum, especially in older boys and pre-adolescents.

It presents as a sudden, severe pain that radiates to the boy’s groin. In addition, the testicle may be swollen and red. If we try to lift the affected testicle, the pain increases.

What happens is that the longer this pathology remains undiagnosed and untreated, the longer the testicle will go without receiving blood. This can cause the testicle to suffer from necrosis and must be removed if treatment is delayed.

Therefore it is important to know how to interpret the symptoms and to see a specialist as soon as possible. The professional will make a clinical diagnosis and possibly an ultrasound scan. In case of confirmation, it may be necessary for the child to go to the operating room to correct the problem as soon as possible.

Hydatide of Morganni

The testicular appendix, also called testicular appendages, are embryonic structures that can remain in different parts of the testicle. We usually find them in the upper part of the testicle.

When this appendage coils itself, it produces a gradual pain that is usually less intense than with testicular torsion. In addition, instead of spreading over the testicle, this pain is usually localized in the upper part. Aside from this localized pain, a bluish spot may appear on this painful point.

This usually happens in childhood, especially between the ages of 2 and 11. Unlike testicular torsion, this is a less serious pathology and not urgent.

Treatment usually simply consists of rest and, if necessary, painkillers and anti-inflammatory drugs. It usually goes away on its own with or without treatment. Still, the child should see a doctor to make a proper diagnosis and rule out other more serious problems.

Epididymitis

The epididymis is the part of the testicle where the sperm matures and is stored. Epididymitis is the inflammation of this part of the testicle . It usually occurs because urine containing bacteria enters this part of the testicle and becomes infected.

Epididymitis manifests as increasing pain. In this case, the child will also experience general malaise, painful urination and fever. Diagnosis will be based on symptoms and imaging tests.

For example, doctors may perform an ultrasound or a urine culture to confirm the presence of bacteria. Treatment includes pain relievers and antibiotics that target the bacteria causing the infection.

What you need to know about acute scrotum

We must not forget that pain and inflammation in a boy’s testicle can be caused by various pathologies. The main thing is to visit a specialist as soon as we notice symptoms. As we mentioned, some of these symptoms can be a real medical emergency.

The specialist will be the one who, through the patient’s symptoms and some additional tests if necessary, will make the diagnosis. From here they will suggest the most appropriate treatment. In most cases, the condition resolves itself and the child has no further consequences.

As always, it’s important to keep up to date with your child’s pediatrician checkups. If you notice any symptoms in your child, you should remain calm and follow the pediatrician’s advice.