Retrospective Evaluation of Acute Scrotum in Children: Eleven Years Experience of a Single Centre

Abstract

Objective Incidence of underlying causes and outcomes in patients followed up and treated in the last 11 years by the Pediatric Surgery Clinic of our hospital with the diagnosis of acute scrotum in childhood were analyzed retrospectively. Materials and Methods A total of 216 patients diagnosed with acute scrotum by the Pediatric Surgery Clinic between November 2010 and October 2021 were included in this study. The age, presentation complaints, physical examination, laboratory and radiological results, additional anomalies, medical and surgical treatment results of the patients were analyzed. Results The patients were aged between 3 weeks to 17 years, with a mean age of 9.9 ± 4.4 years. Pain and swelling are most common in acute scrotum present on the right side in 119 patients (55.1%) and on the left side in 97 patients (44.9%). Causes of acute scrotum were orchitis /epididymoorchitis (O/EO) in 98 (45.4%), strangulated inguinal hernia (SIH) in 52 (24.1%), testicular torsion (TT) in 38 (17.6%), and torsion of testicular appendage (TTA) in 11 (5.1%), testicular rupture in 5 (2.3%), idiopathic scrotal edema 5 (2.3%), intravaginal abscess 3 (1.4%), testicular cancer 2 (0.9%), hydrocele 2 (0.9%). Vesicoureteral reflux was detected in 7 (7.1%) of the patients with O/EO. Conclusion In this series, O/EO was found to be the most common cause of acute scrotal pain. The acute scrotum should be approached like the acute abdomen because only lower quadrant abdominal pain may be the cause of testicular torsion.

Keywords

• acute scrotum
• epididimoorchitis
• strangulated inguinal herni
• testis torsion
• torsion of testicular appendage

Çocuklarda akut skrotumun retrospektif değerlendirilmesi: tek merkezde onbir yıllık deneyim

Abstract

Amaç Hastanemiz Çocuk Cerrahisi Kliniği'nde son 11 yılda akut skrotum tanısı ile takip ve tedavi edilen hastalarda çocukluk çağında akut skrotum tanısı ile takip ve tedavi edilen hastalarda altta yatan neden ve sonuçların insidansı geriyedönük olarak incelendi. Material ve Method Bu çalışmaya Kasım 2010 ile Ekim 2021 arasında Çocuk Cerrahisi Kliniği tarafından akut skrotum tanısı konan toplam 216 hasta dahil edildi. Hastaların yaşı, başvuru şikayetleri, fizik muayene, laboratuvar ve radyolojik sonuçları, ek anomalileri, medikal ve cerrahi tedavi sonuçları analiz edildi. Sonuçlar Hastaların yaşları 3 hafta ile 17 yaş arasında olup, ortalama yaş 9,9 ± 4,4 yıl. Ağrı ve şişlik en sık akut skrotumda 119 hastada (%55.1) sağ tarafta, 97 hastada (%44.9) sol taraftadır. Akut skrotum nedenleri 98'inde (%45.4) orşit/epididimoorşit (O/EO), 52'sinde (%24.1) strangüle kasık fıtığı (SIH), 38'inde (%17.6) testis torsiyonu (TT) ve testis apendiksinin torsiyonu idi. (TTA) 11'inde (%5.1), 5'inde testis rüptürü (%2.3), idiyopatik skrotal ödem 5'te (%2.3), intravajinal apse 3'te (%1.4), testis kanseri 2'de (%0.9), hidrosel 2'de (%0.9) . O/EO olan hastaların 7'sinde (%7.1) vezikoüreteral reflü tespit edildi. Sonuç Bu seride O/EO akut skrotal ağrının en sık nedeni olarak bulundu. Akut skrotuma akut karın gibi yaklaşılmalıdır çünkü sadece alt kadran karın ağrısı testis torsiyonuna neden olabilir.

Keywords

• akut skrotum
• epididimorşit
• strangüle inguinal herni
• testis torsiyonu
• apendiks testis torsiyonu

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