Acute idiopathic scrotal oedema: Rare disorder or difficult diagnosis?

Abstract

This study reports our experience in 6 cases of acute idiopathic scrotal oedema. Although children were the primary targets, this pathologic condition was also encountered in adults. Specific diagnosis of acute idiopathic scrotal oedema, opposed to other causes of scrotal swelling, is based on history, an objective examination, velocimetric Doppler exam and echography. Correct diagnosis is important in order to avoid unnecessary surgery. We are inclined to consider acute idiopathic scrotal oedema as an allergic disorder and recommend a follow-up within two days.

Is there a connection between paediatric acute idiopathic scrotal oedema and intestinal worm infestation?

“…The localised, reversible oedema together with a history of urticaria, asthma, eczema and mild eosinophilia have led to a theory of an allergic reaction or localised scrotal angioedema 1–3 . Antihistamine therapy was given in five cases, 8 and in one case in which the patient experienced a relapse 9 with good response, but this has not been reported by others. Nicholas et al 4 .…”

“…Beta‐haemolytic streptococcus was isolated in one skin swab and two surgical wound cultures. Skin cultures, when taken, were sterile in the majority of other studies 8,9 . Many authors do not treat AISO with antibiotics at all, and recovery is rapid and uneventful 10 …”

Dengue Hemorrhagic Fever Complicated with Acute Idiopathic Scrotal Edema and Polyneuropathy

“…[9][10][11] Only six cases of AISE have been reported in adults, three of which occurred in diabetic patients with a septic foot. [12][13][14][15][16] The differential diagnosis of AISE includes epididymoorchitis, testicular or appen-dical torsion, incarcerated inguinal hernia, and trauma that requires surgical intervention. It is important to differentiate AISE from a scrotal surgical emergency based on detailed history, physical examination, and scrotal sonography to avoid unnecessary surgical exploration.…”

A diagnostic algorithm for male genital oedema

“…22 To date, six cases of AISE have been reported in adults, three of which occurred in diabetic patients with a septic foot. 15,[23][24][25][26] The remaining three cases involved asymptomatic adults who presented with localized scrotal swelling that progressed to involve the proximal penis (saxophone penis). The patients had no history of trauma, allergies or lower urinary tract symptoms.…”