[Acute scrotal pain].

The onset of the pain, tenderness and swelling in the scrotal content is a common complaint in the urological outpatient. A child with those symptoms should be looked on as an emergency sign requiring emergency surgical exploration as a testicular torsion. Testicular torsion represents a surgical emergency because the likelihood of testicular salvage diminishes with the duration of torsion. Therefore, we must act quickly to identify this condition in any patient who presents with an acute scrotum. The history, physical examination and patient age can provide important clues as to the exact cause of acute scrotal pain. Age is a key factor since many conditions responsible for acute scrotum commonly occur in certain age groups. Moreover, imaging is used more routinely to identify accurate diagnosis.