A Case of Compartment Syndrome in the Scrotum and Inguinal Area Complicating Idiopathic Nephrotic Syndrome of Childhood

Rola S Saqan; Rami S Alazab; Mohammed Allouh

doi:10.1016/j.eucr.2017.07.005

A Case of Compartment Syndrome in the Scrotum and Inguinal Area Complicating Idiopathic Nephrotic Syndrome of Childhood

Urol Case Rep. 2017 Aug 17:15:5-7. doi: 10.1016/j.eucr.2017.07.005. eCollection 2017 Nov.

Authors

Rola S Saqan¹, Rami S Alazab², Mohammed Allouh³

Affiliations

¹ Jordan University of Science and Technology, Faculty of Medicine, Pediatric Department, Irbid 22110 Po Box 3030, Jordan.
² Jordan University of Science and Technology, Faculty of Medicine, Surgical Department, Urology Division, Irbid 22110, Po Box 3030, Jordan.
³ Jordan University of Science and Technology, Faculty of Medicine, Anatomy Department, Irbid 22110, Po Box 3030, Jordan.

Abstract

Idiopathic nephrotic syndrome (INS) is a kidney disease characterized by massive proteinuria. Protein loss leads to decreased oncotic pressure shifting the fluids into the interstitial space causing edema, complications such as infections and thromboembolism occur. We report a 7-year-old, diagnosed with NS presenting with a relapse. He developed ascites and scrotal edema followed by severe scrotal pain and redness, progressing rapidly to ecchymosis in the inguinal areas not in continuity with the scrotum. Ultrasound with color Doppler was inconclusive, scrotal exploration was done along with skin incision in the inguinal areas and scrotum, which appeared to relieve the condition rapidly.

Keywords: Acute scrotum; Compartment syndrome; Nephrotic syndrome; Scrotal edema.

Publication types

Case Reports