BMJ Case Reports 2013; doi:10.1136/bcr-2013-009011

Ultrasound in the acute scrotum: the truth and the false

  1. Massimiliano Silveri2
  1. 1Department of Pediatric Surgery, Bambino Gesù Children's Hospital, Palidoro, Italy
  2. 2Department of Pediatric Urology and Nephrology, Bambino Gesù Children's Hospital, Passoscuro, Rome, Italy
  1. Correspondence to Dr Ottavio Adorisio, o.adorisio{at}


A 16-year-old boy was admitted to our emergency department (ED) with a 6-day history of left scrotal swelling associated with pain progressively worsening. About 6 days previously he had a scrotal trauma that occurred during a football match (blow with a ball) leading to left scrotal swelling and local pain that spontaneously disappeared after half an hour but reappeared the day after. His physician suggested oral administration of antibiotic (amoxicillin), non-steroidal anti-inflammatory drugs and local ice …

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