[Epididymitis in infants--a possibility]

Usually, acute scrotum in infants is due to torsion, but there are reasons to believe that primary inflammation occurs more often than supposed. Urethrovasal reflux is the primary mechanism, and it is often associated with urogenital anomalies among infants and dysfunctional voiding among young boys. Colour Doppler ultrasound, scintigraphy and surgical exploration are the tools for differentiating epididymitis from torsion. We present a six months' old child with epididymitis, who was investigated because of suspected torsion. The investigations showed bacteruria, but no anomalies.