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Ultrasonographic appearance of the “acute scrotum” in Henoch-Schönlein disease: two case report and literature review

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  • Uroradiology
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Abstract

There is only one previous reference in the radiological literature describing the ultrasound (US) appearance of male genitalia involvement in Henoch-Schönlein disease (HSD). Very rarely the “acute scrotum” may be the first symptom and could lead to a testicular torsion misdiagnosis. We report two cases of acute scrotal involvement in two patients with HSD, in one of whom the involvement was bilateral accompanied by general symptoms of HSD. In the other it was unilateral and isolated making it difficult to differentiate from testicular torsion. The US appearance, with normal or minimally affected testis, is useful in differential diagnosis.

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References

  1. Schaller JG, Wedgwood RJ (1987) Rheumatic diseases of childhood. In: Nelson WE (ed) Nelson textbook of pediatrics. Saunders, Philadelphia, pp 527–528

    Google Scholar 

  2. Fink CH W (1986) Vasculitis. Pediatric rheumatology. Pediatr Clin North Am 33: 1203–1219

    Google Scholar 

  3. Cotran R, Kumar V, Robbins R (1989) Leukocytoclastic angiitis. In: Benton C (ed) Robbins pathologic basis of disease, 4th edn. Saunders, Philadelphia, pp 573–574

    Google Scholar 

  4. Hardoff D, Jaffe M, Front H (1987) Recurrent episodes of testicular swelling preceding Henoch-Schönlein purpura by 11 months. Eur J Pediatr 146: 613–614

    Google Scholar 

  5. Eyal I, Mizrachi S, Greif Z (1989) Spermatic cord hematoma simulating torsion of testis in Henoch-Schönlein syndrome. Harefuahl 116: 260–261

    Google Scholar 

  6. Ross WB, Davis-Reynolds LM (1987) Epididymal involvement in Henoch-Schönlein purpura mimicking testicular torsion. JR Coll Surg Edinb 32 (4): 247

    Google Scholar 

  7. Cooper SG, Sherman SB, Gross RI, Richman AH (1988) Ultrasound diagnosis of acute scrotal hemorrhage in Henoch-Schönlein purpura. J Clin Ultrasound 16: 353–357

    Google Scholar 

  8. Usuda K, Kawasaki C (1987) Acute epididymitis in Schönlein-Henoch purpura: a case report of emergency exploration. Hinyokika Kiyo (in japanese) 38: 1292–1295

    Google Scholar 

  9. Clarck WR, Kramer SA (1986) Henoch-Schönlein purpura and the acute scrotum. J Pediatr Surg 21: 991–992

    Google Scholar 

  10. Loh HS, Jalan OM (1974) Testicular torsion in Henoch-Schönlein syndrome. BMJ 2: 96–97

    Google Scholar 

  11. Khan AU, Williams TH, Malek RS (1977) Acute scrotal swelling in Henoch-Schönlein syndrome. Urology 10: 139–141

    Google Scholar 

  12. Naiman JL, Harcke T, Sebastianelli J, Stein BS (1978) Scrotal imaging in Henoch-Schönlein syndrome. J Pediatr 92: 1021–1028

    Google Scholar 

  13. Mendel J, Taylor G (1985) Testicular torsion in children: scintigraphic assesment. Pediatr Radiol 15: 110–115

    Google Scholar 

  14. Middleton WD, Siegel BA, Melson GL, et al. (1990) Acute scrotal disorders: prospective comparison of color-Doppler US and testicular scintigraphy. Radiology 177: 177–181

    Google Scholar 

  15. Lerner RM, Mevorach RA, Hulbert WC, Rabinowitz R (1990) Color-Doppler US in the evaluation of acute scrotal disease. Radiology 176: 355–358

    Google Scholar 

  16. Bird K, Rosnefield AT, Taylor KJ (1984) Ultrasonography in testicular torsion. Radiology 147: 527–534

    Google Scholar 

  17. Mikuz G, Hofstadter F, Hager J (1979) Testis innvolvement in Schönlein-Henoch Purpura. Pathol Res Pract 165: 323–329

    Google Scholar 

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Correspondence to: G. del Pozo

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del Pozo, G., Miralles, M.M., Lozano, V. et al. Ultrasonographic appearance of the “acute scrotum” in Henoch-Schönlein disease: two case report and literature review. Eur. Radiol. 2, 488–490 (1992). https://doi.org/10.1007/BF00176359

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