ADULT ACUTE IDIOPATHIC SCROTAL EDEMA

We report here a rare case of adult acute idiopathic scrotal edema (AI SE). Its characteristics and management are the same for adults as for prepubertal boys. AISE typically affects prepubertal boys,with an acu te onset of a relatively painless scrotal erythema and subcutaneous ed ema, which resolves spontaneously, without sequela, in 1 to 3 days. Th e erythema and swelling can also extend to the perineum, abdomen, or p enis. Its diagnosis is primarily made by exclusion. Vital signs, urina lysis, urine and tissue culture, and white blood cell count are normal . Palpably normal scrotal contents on physical examination and thicken ed scrotal wall and normal testis arterial flow on scrotal ultrasound with color flow Doppler further confirm the diagnosis. Differentiating AISE from a scrotal Surgical emergency is essential in order to avoid unnecessary exploration.