Acute Scrotum in Neonates: Clinical, Radiological and Surgical Correlation | ||||
| The Medical Journal of Cairo University | ||||
| Article 39, Volume 87, December, December 2019, Page 4315-4327 PDF (1.41 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2019.77438 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| MOHAMMED ZAKI, M.D.; MOHAMED Y. BATIKHE, M.D. | ||||
| The Department of Radiology* and Pediatric Surgery Unit, Department of Surgery**, Faculty of Medicine, Sohag University, Egypt | ||||
| Abstract | ||||
| Abstract Background: Acute scrotum in neonates is a significant medical and surgical entity to deal with. It may be due to diverse causes. Aim of Study: To evaluate the radiological findings of acute scrotum in neonates and compare them with clinical and surgical data; especially as regards testicular and intestinal viability. Patients and Methods: Thirty boys (neonates) examined for acute scrotum. Clinical evaluation was done to all patients. Suitable radiological imaging was done according to the case including sonography, color Doppler and may be X-Ray. Medical or surgical management was achieved accordingly. Results: The study includes the following lesions; unilat-eral testicular torsion in 5 cases, bilateral testicular torsion in one case, complicated inguinal hernia in 12 cases, epididymitis and epididymo-orchitis in 6 cases, scrotal pyocele in 2 cases, scrotal hematoma in one case, skin infection with scrotal edema in two cases and meconium peri-orchitis with scrotal edema in one case. Sonography with color Doppler has the sensitivity, specificity and accuracy of 100%, 85% and 90% respectively as compared with surgical and clinical data. Conclusion: Acute scrotum in neonates and infants has many causes. Radiology has a major role in the differential diagnosis of these causes and correlated well with surgery. Still surgical exploration is to be considered when radiological evaluation is not conclusive. | ||||
| Keywords | ||||
| Acute scrotum – Torsion – Complicated inguinal hernia – Ultrasonography – Neonates | ||||
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