Scrotal swelling in the Schönlein-Henoch syndrome

Testicular and scrotal hemorrhage is uncommon in the Schönlein-Henoch syndrome. The diagnosis of testicular torsion is difficult to make when it is complicated by vasculitis of the testis. Since both conditions can occur simultaneously, torsion of the testis must be considered and surgical exploration performed whenever acute testicular pain and swelling occur during the course of the Schönlein-Henoch syndrome. Two patients with this syndrome as well as scrotal and testicular involvement are described.