Clinical Profile Of Patients With Acute Scrotal Pain: An Observational Study
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 5, Issue 4
Abstract
Background: Acute scrotal swelling might be a medical emergency. While the symptoms and signs of causes of acute scrotal swelling overlap with that requiring conservative management, it is becomes challenging to diagnose the patients at the earliest. The present study was conducted to evaluate common presentation and causes in patients presenting with acute scrotal swelling. Objectives:To study the clinical profile of patients presenting with painful scrotum in Pravara Rural Hospital, Loni. Materials and methods:The present study was an Observational study conducted during the period of September 2014 to August 2016 in Pravara Rural Hospital and Rural Medical College, Loni. Patients admitted with complaints of acute pain and swelling of scrotum irrespective of age and gender were included in the study. Patient with painless scrotal swelling and those with chronic scrotal pain were excluded from the study. Detail history was taken followed by clinical examination for probable diagnosis. Relevent haematogical and radiolagical investigation were done to confirm the diagnosis. Results:Of the 60 patients in our study, acute epididymo-orchitis (36.6%) was the dominant cause of acute scrotal swelling followed by scrotal abscess(23.3%). 50% cases of torsion of testis were found to be below 20 years of age and 50% cases were above 20 years. Most common age group presenting with acute scrotal swelling in our study was 41-50yrs (28.3%) followed by 61-70yrs (18%). Torsion of testis (13.3%) was an important differential diagnosis in case of an acute scrotum which requires urgent emergency exploration. USG with colourdoppler of the scrotum was found to be useful investigation except in cases of fournier’s gangrene. Urinary tract infection was the main causative factor in acute scrotal swelling in infective pathology.The commonest causative organism was found to be E.coli (65%) followed by Kleibsiella(26.6%). Conclusion:Ultrasonography and surgical exploration should be sought in patients with high clinical suspision of torsion or epididymo-orchitis, irrespective of age of the patient.
Authors and Affiliations
Vyas Harigopal, Anand Singh, Apturkar Dilip
Keywords
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