A rare case of pneumoscrotum

Introduction: A pneumoscrotum is an uncommon event and could be caused by a clinically relevant or clinically nonrelevant pathomechanisms. Decisive is the evaluation of its cause. A special therapy after removal is not necess ary. Case Report: We report on a 29-year-old patient with pneumoscrotum, which w as diagnosed after transrectal biopsy of the intestinal tract after the thi rd renal transplantation. Conclusions: The distinctiveness of this phenomenon lies, on the one hand, in the description of a clinically impressive event seen rarely in urologic practice. On the other hand, the pneumoscrotum was a very important sign f or the diagnostic and operative proceeding. The differential diagnose possi bilities of the origin of pneumoscrotum as well as the pathomechanism will be discussed.