Çocuklarda akut skrotumun retrospektif değerlendirilmesi: tek merkezde onbir yıllık deneyim

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.