Emerg Med J 20:104-105 doi:10.1136/emj.20.1.104
  • Case report

Scrotal pain in the absence of torsion; need for vigilance

  1. S Venketraman,
  2. J P Gray,
  3. P A Evans
  1. Department of Accident and Emergency Medicine, The Leicester Royal Infirmary, Leicester, UK
  1. Correspondence to:
 Dr S Venketraman, 9 Stockwell Road, Leicester LE2 3PN, UK;
  • Accepted 14 June 2002


Epididymitis is a common presentation of acute testicular pain seen in the emergency department, the differential diagnosis being testicular torsion. The vast majority of young men with epididymitis have an infective aetiology and this settles with antibiotic treatment. The clinical course of a patient who presented with testicular pain is described. At ultrasonography, the patient was found to have the uncommon condition of testicular microlithiasis, a condition that has been linked to malignant disease. Emergency doctors should be aware of the potential consequences of returning scrotal pain consistent with epididymitis to the community on antibiotic treatment alone. All patients with probable epididymitis should have either a scrotal ultrasound or specialist follow up.


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