Emergency ultrasound of acute scrotal painWright, Sheriekaa; Hoffmann, BeatricebEuropean Journal of Emergency Medicine: February 2015 - Volume 22 - Issue 1 - p 2–9 doi: 10.1097/MEJ.0000000000000123 REVIEW ARTICLE Buy SDC Abstract In Brief Author InformationAuthors Article MetricsMetrics Patients presenting with acute scrotal pain to the emergency department require a timely diagnosis. Although the differential diagnosis can be extensive and varies with age, there are a few conditions that are considered true surgical emergencies. These include torsion of the spermatic cord, incarcerated hernia with strangulation, testicular trauma leading to rupture or organ-threatening hematomas, and Fournier’s gangrene. These are conditions that need to be kept in mind by the physician when approaching such patients. Other causes such as epididymitis or orchitis need to be distinguished, and although not requiring emergency surgery, still require urgent diagnosis and treatment. Diagnostic ultrasound can accurately diagnose many acute conditions of the scrotum, and emergency physicians have come to utilize it to advance their diagnostic acumen. This educational review article discusses the current literature and the use of emergency ultrasound in patients presenting with scrotal pain as well as scanning approaches and common sonographic findings. Supplemental Digital Content is available in the text. aDepartment of Emergency Medicine, Northwest Hospital, Randallstown, Maryland bDepartment of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's website (www.euro-emergencymed.com). Correspondence to Beatrice Hoffmann, MD, PhD, RDMS, Department of Emergency Medicine Beth Israel Deaconess Medical Center, Boston, MA 02215, USA Tel: +1 617 754 2532; fax: +1 617 754 2350; e-mail: firstname.lastname@example.org Received July 27, 2013 Accepted January 7, 2014 Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.