Description

A 34-year-old man presented to the emergency department with intense, sudden and persistent scrotal pain, worsened by the orthostatic position. He denied other accompanying symptoms such as bleeding or history of recent trauma. He referred an asymptomatic congenital angioma of the scrotum and denied any other medical history. Physical examination revealed an extensive red-to-reddish blue papules in the right hemiscrotum, with numerous dark red petechiae (figure 1). It was painful on palpation. Ultrasound revealed a general skin and subcutaneous tissue thickening with …