Tuesday, April 19, 2016

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.

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