Acute idiopathic scrotal edema

Case contributed by Dr Subhan Iqbal

Presentation

Bilateral scrotal pain and swelling.

Patient Data

Age: 60 years
Gender: Male
Ultrasound

Grayscale and doppler ultrasound shows significant edematous scrotal skin thickening, small bilateral hydroceles, and normal appearing testes. 

Case Discussion

Acute idiopathic scrotal edema (AISEcharacterized by marked edema of the skin and dartos fascia without involvement of the deeper layers, testes, or epididymis. It is an essential condition to be recognized in order to avoid surgery. Imaging features include bilateral scrotal wall edema, hydrocele, inguinal lymph nodes and scrotal skin thickness. It tends to settle in approximately 3-5 days on conservative therapy.

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