Acute Epididymo-orchitis in Newborn Infant.

Jeong,  Mi So; Lee,  Eun Ho; Shin,  Youn Jeong; Lee,  Soo Jin; Kang,  Ju Hyung; Lee,  Sung Kyu; You,  Chur Woo; Park,  Ho Jin

Case Report

Journal of the Korean Society of Neonatology 2005;12(1):133-137.
Published online May 1, 2005.

Acute Epididymo-orchitis in Newborn Infant.

Mi So Jeong, Eun Ho Lee, Youn Jeong Shin, Soo Jin Lee, Ju Hyung Kang, Sung Kyu Lee, Chur Woo You, Ho Jin Park

Department of Pediatrics, College of Medicine, Eulji University, Daejoen, Korea. esthermd@eulji.ac.kr

신생아기의 급성 부고환-고환염 1례

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Abstract

Acute scrotum in newborn infants is unusual and it is even more unusual with infectious origin. The causes of acute scrotum in newborn infants include hydrocele, testicular torsion, torsion of an appendix testis, epididymo-orchitis, meconium peritonitis, testicular tumor, scrotal hematoma and reducible or incarcerated inguinal hernia. Because of lack of typical symptoms and signs, the correct diagnosis of surgical emergencies such as testicular torsion and incarcerated inguinal hernia are often delayed. Recently, color Doppler ultrasonography and testicular scans are being used for differential diagnosis of acute scrotum, although the latter is often technically unsatisfactory due to small size of the testicles in newborn infants. We report a seven day-old male infant with acute scrotum who was diagnosed as acute epididymo-orchitis by color Doppler ultrasonography, and saved from unnecessary surgical interventions. Although color Doppler ultrasonography can not give diagnostic clue for acute scrotum, it can reduce the need for explorative surgery.

Key Words: Acute scrotum; Epididymo-orchitis; Color Doppler ultrasonography; Newborn