Elsevier

Urology Case Reports

Volume 6, May 2016, Pages 9-11
Urology Case Reports

Pediatrics
Acute Scrotal Swelling in Henoch-Schonlein Purpura: Case Report and Review of the Literature

https://doi.org/10.1016/j.eucr.2016.01.004Get rights and content
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Abstract

Henoch-Schönlein purpura (HSP) is a systemic vasculitis characterized classically by purpura, arthritis and abdominal pain. Epididymitis/orchitis is rarely seen as a complication of HSP. Testicular or scrotal involvement has been reported in children with Henoch-Schonlein purpura and must be distinguished from testicular torsion. We report a case of a 5 year old boy diagnosed with Henoch-Schönlein purpura with acute scrotal swelling. He was managed successfully with conservative approach. The history, clinical examination findings and scrotal ultrasound evaluation should suffice to make the correct diagnosis and avoid surgery. Steroid treatment and/or antibiotics appeared to be effective for this condition.

Keywords

Henoch-Schonlein purpura
Epididymo-orchitis
HSP orchitis
Acute scrotal swelling

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