Introduction: Acute scrotum is defined as the sudden onset of scrotal pain and swelling and encompasses a wide range of etiologies. Although numerous conditions may present as an acute scrotum, prompt recognition of those requiring urgent surgical intervention is crucial. Methods: Representative clinical images of two causes of acute scrotum - Fournier's gangrene and traumatic testicular rupture are presented, accompanied by brief diagnostic and management comments. Results: Fournier's gangrene presents with severe scrotal swelling, erythema, skin necrosis, crepitus, and systemic toxicity, requiring immediate broad-spectrum antibiotics and urgent surgical debridement. Traumatic testicular rupture most commonly follows blunt scrotal trauma, presenting with painful swelling and hematoma, and mandates emergency surgical exploration to salvage the testis. Conclusion: Every case of acute scrotum should be considered a surgical emergency until testicular torsion, Fournier's gangrene, and severe testicular trauma are excluded. Visual recognition of characteristic findings supports rapid clinical decision-making and prompt intervention.
Dimitrić et al. (Thu,) studied this question.