[Acute scrotal gangrene: report of one case]

Acute scrotal gangrene is a rare urologic emergency that is especially uncommon in children. It is characterized by an abrupt onset in an otherwise healthy individual, rapid progression to gangrene, and ill-defined etiology. A twenty-three-day-old male infant with complaints of irritable crying, fever, and scrotal swelling was admitted to this hospital. Physical examination showed scrotal edematous swelling and skin discoloration. Ultrasound examination, culture of scrotal content and scrotal biopsy confirmed this diagnosis. After surgical drainage and treatment with strong antibiotics, the patient was recovered uneventfully. Acute scrotal gangrene is very rare, especially in early infancy, therefore, it is important to recognize the disease and be careful to make differential diagnosis with other disease, especially testicular torsion, and strangulated hernia to avoid unwarranted, complication or surgery.