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. 2013:2013:829345.
doi: 10.1155/2013/829345. Epub 2013 Nov 13.

Acute idiopathic scrotal edema

Micheál Breen  1 , Kevin Murphy, Jeanne Chow, Eamon Kiely, Kevin O'Regan
Affiliations

Acute idiopathic scrotal edema

Micheál Breen et al. Case Rep Urol. 2013.

Abstract

We report a case of acute idiopathic scrotal edema (AISE) in a 4-year-old boy who presented with acute scrotal pain and erythema. The clinical features, ultrasound appearance, and natural history of this rare diagnosis are reviewed. In this report, we highlight the importance of good ultrasound technique in differentiating the etiology of the acute scrotum and demonstrate the color Doppler "Fountain Sign" that is highly suggestive of AISE.

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Figures

Figure 1
Figure 1
Ultrasound showing marked edematous scrotal skin thickening, small bilateral hydroceles, and normal appearing testes.
Figure 2
Figure 2
Transverse color Doppler image showing the “Fountain Sign” of increased blood flow in the edematous scrotal skin.
See this image and copyright information in PMC

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