Gangrene of the scrotum is not a common condition, but it is by no means rare. As far back as 1905, Whiting<sup>1</sup>collected from the literature 93 cases of scrotal gangrene. In 1911, Coenen and Przedborski<sup>2</sup>reviewed 203 cases, and in 1930, Gibson<sup>3</sup>collected 203 cases of idiopathic or spontaneous gangrene of the scrotum—only one variety of this malady. The earliest case reported is credited to Boerhave,<sup>4</sup>in 1753, occurring in a man, 40 years of age, as the result of urinary retention. The patient recovered with a resulting urinary fistula. The first case of scrotal gangrene in a child was reported in 1764 by Baurienne,<sup>5</sup>who observed the condition in a 14 year old boy. The earliest case in an infant found in the literature was one reported by Hebler,<sup>6</sup>in 1848. His patient was a 12 weeks old infant with erysipelas of