# Scrotum Pain Leading to the Diagnosis of a Compression Fracture

## TL;DR

A man with severe back and scrotum pain was found to have a spinal fracture, showing the need to consider such injuries in unusual pain cases.

## Contribution

Highlights vertebral fractures as a rare but important cause of acute scrotum pain.

## Key findings

- A burst fracture of the 12th thoracic vertebra was diagnosed in a patient with scrotum pain.
- Atypical presentations of scrotum pain can be due to spinal injuries.
- Imaging is crucial for accurate diagnosis in such cases.

## Abstract

A 45-year-old male presented to the emergency department with an acute onset of severe lumbosacral pain and scrotum pain. Despite initial differential diagnoses, including testicular torsion, perineal necrotizing fasciitis, and acute epididymitis, subsequent imaging revealed a burst fracture of the 12th thoracic vertebra. This case highlights the importance of considering vertebral compression fractures in the differential diagnosis of acute scrotum pain, especially in patients with atypical presentations.