Acute scrotum due to edidymo-orchitis associated with vasal anomalies in children with anorectal malformations

Epididymo-orchitis, an uncommon cause of acute scrotum in prepubertal boys, is infection or inflammation of epididymis and testis. Epididymo-orchitis may be associated with urinary tract infections or reflux of urine predispo sed by an underlying vasal anomaly. Two infants with anorectal malformation s who presented with acute scrotum are reported. The surgical exploration o f the testes showed findings consistent with epididymo-orchitis. Further ra diological investigations of urinary tract showed vasal anomalies in both p atients. If a patient with anorectal malformation presents with acute scrot um, epididymo-orchitis should be suspected initially. Evaluations should be directed toward defining predisposing vasal anomaly, and appropriate thera peutic measures should be undertaken to prevent recurrences. J Pediatr Surg 33:1834-1836. Copyright (C) 1998 by W.B. Saunders Company.