Dr Rabia Bashir, Dr Ambreen Bashir, Dr Muhammad Azhar Masood Khan
Introduction: The acute scrotum is a medical emergency defined as scrotal pain, swelling, and redness of acute onset. Aims and objectives: The main objective of the study is to analyze the frequency of different ultrasonographic patterns in patients presenting with acute scrotum. Material and methods: This cross sectional study was conducted in Rawalpindi Medical University during March 2019 to December 2019. The data was collected from 50 patients of acute scrotum. The patients have performed an ultrasound examination positioned supine, and a rolled towel or sheet is placed between the legs to support the scrotum. Results: The data was collected from 50 patients of acute scrotum. Of the 19 patients who presented with painless scrotal mass or swelling, 16had extra-testicular lesions and 3 had intra-testicular lesions. All the extra-testicular lesions were benign. Of the 3 intra-testicular lesions, one was due to tuberculosis epididymo-orchitis, one was non-Hodgkin’s lymphoma, and one was metastasis from liposarcoma. Although, scrotal contents are the most accessible to clinical examination, serious dilemmas occur. Conclusion: It is concluded that ultrasonography b-mode and colour Doppler ultrasonography has become the imaging modality of choice for evaluating acute scrotal diseases in emergency room.