A 9-year-old child came to the emergency department of the Children's City Clinical Hospital with the edematous scrotum syndrome, he hit his scrotum by a bicycle frame.
An emergency ultrasound was prescribed.
On ultrasound, a thickening and increased echogenicity of the scrotal wall (contusion) is visualized, the right testicle is unremarkable, a hyperechoic scrotal pearl (scrotolith) is visualized in the projection of the lower pole of the right testicle; in the left half of the scrotum, a small amount of free fluid with septa and an enlarged inhomogeneous epididymis are visualized, with a pronounced increase in blood flow at CFM (epididymitis).
