An Unusual Cause of Acute Scrotum: Pancreatitis-Related Scrotal Pain

Acute pancreatitis presenting with scrotal swelling and tenderness is rare. It is caused by fat necrosis of soft tissue at the scrotum due to accumulation of pancreatic fluid. With similar symptoms to testicular torsion, case management strategies are quite different. Acute scrotum owing to testicular torsion requires emergency exploration while conservative treatment is adequate for the latter. A correct diagnosis is very important to give appropriate treatment and avoid unnecessary an operation. Here, we present our case and review the related historical literature.

[1]  S. Agarwal,et al.  The scrotum in pancreatitis: a case report and literature review. , 2004, JOP : Journal of the pancreas.

[2]  S. M. Wang,et al.  Acute pancreatitis masquerading as testicular torsion. , 1996, American Journal of Emergency Medicine.

[3]  K. K. Choong Acute penoscrotal edema due to acute necrotizing pancreatitis. , 1996, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[4]  G. Sudakoff,et al.  Ultrasonography and color Doppler imaging of a scrotal phlegmon in acute necrotizing pancreatitis. , 1994, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[5]  Zimin Af,et al.  Acute pancreatitis with hemorrhagic flow into the scrotum , 1979 .

[6]  M. Anderson Review of pancreatic disease. , 1969, Surgery.