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Forum Name: Pediatric Topics

Question: 10 year old brother has swollen testicles with pain

 jb1987 - Mon Jul 05, 2010 8:35 pm

one is red and bigger and a little bit swollen is this an emergency that he needs to see someone right away or can it wait until tomorrow
 Dr.M.Aroon kamath - Wed Jul 21, 2010 11:24 am

User avatar Hi,
This reply obviously is belated. The history provided suggests an "acute scrotum". This is a surgical emergency unless proved otherwise.

This could be due to a number of causes including
- torsion of the testis,
- torsion of the apppendix of the testis(Appendix testis), and
- a strangulated inguinal hernia.

Some of the differential diagnoses are,
- an acute orchitis,
- an acute epididymitis or epididymo-orchitis,
- Acute idiopathic scrotal edema and
- insect bites.

I urge that any child with this kind of history should be taken immediately to the A&E department of the nearest hospital for an emergency assessment.Hope your brother was treated and is well by now.
Best wishes!
Good luck!

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