Una epididimite complicata
Abstract
Acute scrotal pain in children requires prompt differentiation between inflammation and surgical emergencies. The paper reports the case of a 4-year-old boy with acute epididymitis that progressed to severe pachivaginalitis despite treatment. The inflammatory response led to epididymal ischemia and testicular hypoperfusion due to increased intravaginal pressure and impaired venous drainage. Though rare (1-2% of cases), this complication may mimic testicular torsion. In such evolving clinical scenarios, surgical exploration is essential to confirm the diagnosis and prevent permanent gonadal damage.
Fields of Study & Subjects
Testicular diseases and treatments
Pediatric Urology and Nephrology Studies
Urological Disorders and Treatments
Publication details
- Journal / source
- Medico e Bambino - Pagine Elettroniche
- Volume
- 29
- Issue
- 3
- Pages
- 70–71
- Publication date
- 11 March 2026
- Language
- EN