E1113. A Trainee’s Guide to Scrotal Emergencies in the ED
University of Wisconsin
Acute scrotal pain is a common presentation in the emergency department. However, evaluation of scrotal-related conditions can be clinically challenging. Scrotal emergencies can have a significant morbidity and mortality if the entity is not diagnosed properly in a timely manner. Appropriate imaging can greatly aid in the diagnosis, guide management, and prevent complications. This exhibit will give an overview of relevant normal anatomy of the scrotum for better recognition of pathology and its location. Using a multimodal imaging approach, the exhibit will also present multiple common and uncommon cases of acute scrotal pain and illustrate the key imaging findings of different emergent conditions.
Educational Goals / Teaching Points
This educational exhibit will provide common and uncommon causes of acute scrotal pain, including its etiology, clinical presentation, diagnostic workup, and management. Using a multimodal imaging approach, it will present multiple cases that illustrate the key imaging findings of emergent and non-emergent conditions as well as their potential complications. A brief overview of the relevant normal anatomy of the scrotum will also be included.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Multiple etiologies can contribute to the presentation of acute scrotal pain, including but not limited to infection, inflammation, ischemia, neoplasm, trauma, iatrogenic, or extratesticular causes. It is therefore important for the radiologist to be familiar with the radiologic manifestations of the many etiologies of acute scrotal pain, along with their potential complications, so that timely diagnostic workup and management can be initiated.
The diagnosis of scrotal-related conditions is challenging. Review of the common imaging findings of scrotal emergencies using multiple modalities while understanding the corresponding appropriate management can significantly help the physician to better treat patients and decrease complications.