Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Urol. Aug 29, 2022; 11(1): 1-5
Published online Aug 29, 2022. doi: 10.5410/wjcu.v11.i1.1
Scrotal strangulation in the differential diagnosis of acute scrotum: A case report
Michael Frumer, David Ben-Meir
Michael Frumer, David Ben-Meir, Department of Urology, Schneider Children's Medical Center of Israel, Petach Tikva 4941492, Israel
Author contributions: Frumer M researched the literature and conceived the study; Frumer M was involved in patient recruitment, systematic review of the literature and data analysis. Frumer M wrote the first draft of the manuscript. Ben-Meir D was involved in the systematic review of the literature and reviewed and edited the manuscript; All authors approved the final version of the manuscript.
Informed consent statement: The legal guardian provided informed written consent.
Conflict-of-interest statement: All authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Michael Frumer, MD, Department of Urology, Schneider Children's Medical Center of Israel, Petach Tikva 4941492, Israel. mic1039@gmail.com
Received: February 23, 2022
Peer-review started: February 23, 2022
First decision: May 12, 2022
Revised: May 23, 2022
Accepted: August 5, 2022
Article in press: August 5, 2022
Published online: August 29, 2022
Abstract
BACKGROUND

Acute scrotal pain and swelling are common presentations in the emergency department. Urgent surgical intervention is justified in up to one-third of cases, whereas two-thirds of them should be treated conservatively.

CASE SUMMARY

We report a case of scrotal only strangulation in a child and review the available literature.

CONCLUSION

Due to its rarity, scrotal strangulation can be a diagnostic challenge. Skin ulceration and edema may well indicate the presence of a strangulation object. A high index of suspicion and appropriate physical examination, especially in patients with a mental disability or behavioral disorder, are key to early diagnosis and treatment.

Keywords: Scrotum, Physical examination, Ultrasonography, Urogenital trauma, Emergency medicine, Pediatrics, Case report

Core Tip: An extremely rare etiology of painful scrotal swelling, which emphasizes the paramount importance of the basic physical examination, especially in patients with a mental disability or behavioral disorder.