Presentation
Bilateral scrotal pain and swelling.
Patient Data
Age: 60 years
Gender: Male
From the case:
Acute idiopathic scrotal edema
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Grayscale and doppler ultrasound shows significant edematous scrotal skin thickening, small bilateral hydroceles, and normal appearing testes.
Case Discussion
Acute idiopathic scrotal edema (AISE) characterized by marked edema of the skin and dartos fascia without involvement of the deeper layers, testes, or epididymis. It is an essential condition to be recognized in order to avoid surgery. Imaging features include bilateral scrotal wall edema, hydrocele, inguinal lymph nodes and scrotal skin thickness. It tends to settle in approximately 3-5 days on conservative therapy.
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