Ces Urol 2004, 8(1):8-10 | DOI: 10.48095/cccu2004002

Syndroma of acute scrotum in patients with Henoch-Schoenlein purpura

M. Pešl¹, R. Kočvara^1,2, M. Babjuk^1,2, J. Dvořáček^1,2, J. Langer³

¹ Urologická klinika VFN a 1. LF UK, Praha

² Katedra urologie IPVZ, Praha

³ Klinika dětí a dorostu VFN a 1. LF UK, Praha

The aim of the study is to draw medical attention to an unusual cause the syndrome of acute scrotum with a different diagnostic scheme.
In my paper I present the case of two patients with Henoch-Schoenlein purpura, in whom the syndrome of acute scrotum occured. In one case we proceeded to surgical revision, as the torsion of the seminal cord could not be excluded on the basis of physical examination and ultrasound. Only epididymitis was found during surgery. The diagnosis of HSP was established only later in this patient. With the knowledge of HSP diagnosis, we adopted a conservative approach in the second case. The torsion of seminal cord was not present in any of the cases, the symptoms were cause by epididymitis associated with HSP.
Acute scrotum can be one of the first manifestations of HSP. The course is usually benign and can be managed conservatively, in case the torsion of the seminal cord is excluded.

Keywords: Henoch-Schoenlein purpura, acute scrotum

Published: January 1, 2004