Testicular trauma resulting in shock and systemic inflammatory response syndrome: case report
Acute painful scrotum in children may be associated with torsion of the testis, hematocele, epididymitis and direct testicular injury with hematoma formation. More frequently, however, acute scrotum occurs de novo.
While most traumatic testicular injuries resolve with conservative management, many require surgical exploration and some are life-threatening.Case presentationA 13 year old male with history of testicular trauma presented with severe scrotal swelling and shock. This case study examines the presentation and possible role of cytokines in the development of SIRS (systemic inflammatory response syndrome) in a child with acute traumatic epididymitis.
Conclusion: Post traumatic epididymitis presenting as shock in boys is rarely reported.
We advocate early recognition of the chain of events leading to clinical presentation of shock and prompt treatment to preserve testicular viability.
Author: Kingsley C Okonkwo, Kristin G Wong, Cheng T Cho and Lisa Gilmer
Credits/Source: Cases Journal 2008, 1:4
Published on: 2008-05-12
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