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Case Reports in Medicine
Volume 2018, Article ID 2862514, 4 pages
Case Report

Unusual Cause of Acute Scrotal Pain-Inflammatory Noncommunicating Hydrocele: A Pediatric Case Report

1Department of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
2Department of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

Correspondence should be addressed to Kentaro Mizuno;

Received 13 December 2017; Accepted 11 January 2018; Published 8 February 2018

Academic Editor: Bruno Megarbane

Copyright © 2018 Yoshinobu Moritoki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The etiology of scrotal pain is clinically classified in terms of the necessity for emergency surgery. Lately, color Doppler ultrasonography has reduced unnecessary surgeries, but there are still some cases that require immediate exploration because of an uncertain diagnosis. Here, we describe the case of a 14-month-old boy, who could not deliver his complaint accurately, presenting with a grumpy mood and a red swollen scrotum. Emergency surgery revealed that the cause was intense inflammation of the hydrocele wall, which typically does not cause acute scrotum. We also reviewed rare etiologies of scrotal pain for general physicians to develop the differential diagnosis.