Q: Which of the vascular condition may present as an acute scrotal pain and may be fatal if missed?
Answer: AAA (abdominal aortic aneurysm)
It is unlikely but if no reason could be found for acute scrotal pain in an adult male, it could be a referred pain. Out of all conditions which may present as a referred pain, AAA is a dreaded one to miss. Others are urolithiasis, lower lumbar or sacral nerve root impingement and retrocecal appendicitis. Another condition which should be considered if patient cont. to c/o scrotal pain without any major finding is retroperitoneal tumor.
McGee SR. Referred scrotal pain: case reports and review. J Gen Intern Med 1993; 8:694.