Yonsei Med J.  1998 Feb;39(1):73-78. 10.3349/ymj.1998.39.1.73.

Acute scrotum in 7 cases of Schoenlein-Henoch syndrome

• Lee JS
• Choi SK

• KMID: 711530
• DOI: http://doi.org/10.3349/ymj.1998.39.1.73

Abstract

Schoenlein-Henoch syndrome (SHS), one of the manifestations of systemic vasculitis, usually involves the skin, gastrointestinal tract, joints and kidney. Since the involvement of male genitalia is very rare and there is little mention of it in textbooks, doctors have a tendency to neglect this finding in SHS. Unless there is a confirming diagnosis, it is easily mistaken for testicular torsion and the patients undergo unnecessary operations because they complain of unbearable scrotal pain. SHS is not uncommon in Korea, but hardly any cases of scrotal involvement are found. We have experienced 7 cases of acute scrotum associated with SHS admitted to Severance Hospital, Yonsei University College of Medicine during the last 20 years; 2 underwent operation and 5 received conservative treatment only.

Keyword

Acute scrotum; Schoenlein-Henoch syndrome

MeSH Terms

Acute Disease
Case Report
Child
Child, Preschool
Edema/etiology*
Epididymitis/etiology*
Human
Male
Purpura, Schoenlein-Henoch/complications*
Scrotum*
Spermatic Cord Torsion/therapy
Spermatic Cord Torsion/etiology*