# Acute Idiopathic Scrotal Edema, an Underrecognized Cause of Scrotal Pain in Children: A Case Report and Literature Review

## TL;DR

This paper reports a case of acute idiopathic scrotal edema in a child and reviews its ultrasound features to help avoid unnecessary surgery.

## Contribution

The paper highlights ultrasound findings and management of a rare pediatric condition to improve diagnostic accuracy.

## Key findings

- Ultrasound can help diagnose acute idiopathic scrotal edema in children.
- Conservative management led to full recovery in the reported case.
- The condition is often underrecognized and can mimic more serious issues.

## Abstract

Acute idiopathic scrotal edema is a clinical entity predominant in children under 10 years whose true incidence is unknown in our setting. Diagnosis is challenging and avoids unnecessary surgeries. We present the case of an idiopathic acute scrotal edema with ultrasound findings highly suggestive of the diagnosis, which was managed conservatively with complete signs and symptoms resolution after discharge. We aim to review the ultrasound characteristics and differential diagnosis of this disorder.