Fountain's Sign as a Diagnostic Key in Acute Idiopathic Scrotal Edema: Case Report and Review of the Literature

Acta Medica (Hradec Králové)
Dimitrios PatouliasIoannis Patoulias

Abstract

The acute idiopathic scrotal edema (AISE) is a self-limited disease of unknown etiology, characterized by edema and erythema of the scrotum and the dartos, without expansion to the underlying layers of scrotum's wall or to the endoscrotal structures. Boys younger than 10 years old are usually involved in 60-90% of all cases. Diagnosis is made after exclusion of other causes of acute scrotum. We present a case of a 7-year old boy, who was admitted to the Emergency Department due to development of scrotal edema and erythema over the last 48 hours, which extended to the base of the penis. The patient mentioned that he first noticed the erythema on the anterior surface of the right hemiscrotum, which gradually extended. Physical examination did not reveal presence of pathology involving the endoscrotal structures, indicative of need for urgent surgical intervention. Transillumination was negative for blue dot sign. Ultrasonographic examination of the scrotum documented the homogeneity of the testicular parenchyma, while color Doppler revealed the presence of fountain's sign (equal arterial blood supply to both testicles). Conservative strategy was followed and the patient gradually improved within the next three days. In conclusion...Continue Reading

References

Jul 31, 2001·European Journal of Pediatrics·A M van LangenJ J De Nef
Aug 1, 2002·Journal of Pediatric Surgery·Baruch KlinSimon Strauss
Sep 15, 2005·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Celestino AsoJavier Lucaya
Jan 25, 2007·Journal of the European Academy of Dermatology and Venereology : JEADV·L N WeinbergerJ C English
Jul 28, 2010·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Julia GeigerKassa Darge
Jan 17, 2014·Journal of Ultrasound·G T Yusuf, P S Sidhu
May 3, 2015·The Journal of Pediatrics·Marco CopertinoAlessandro Ventura
Apr 14, 2016·The Pediatric Infectious Disease Journal·Sang Hyub LeeHyung-Lae Lee

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Citations

Mar 24, 2021·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·Lucio Dell'AttiAndrea Benedetto Galosi

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