Androctonus crassicauda is the second most frequent causes of scorpion sting in south-west Iran. Its venom can cause sever pain, autonomic, central nervous system (CNS), muscle function disturbances, and death. Appropriate medical and nursing cares can lead to complete recovery with no sequel .The majority of scorpion stings are oligosymptomatic, occurring mainly on the hands and feet (about 90%). Here one rare case of a scorpion sting on the Scrotum is reported from Kashan, central Iran.

Spermatocele, a retention cyst of the Scrotum which is or has been in communication with the semen-carrying system,(1) is a relatively common clinical entity. It presents typically as an intrascrotal paratesticular mass, but it usually has few subjective symptoms. Here, we report a case of spermatocele manifested with acute Scrotum due to its unique feature...

Syphilis is normally manifested 2 weeks after sexual exposure with the characteristic painless penile sore. The infection rapidly progresses to the secondary stage unless adequate treatment is administered. The secondary stage is characterized by the appearance of rashes in which the infection overwhelms the body. Systematic symptoms such as fever, swollen lymph nodes, sore throat, patchy hair loss, headache, weight loss, muscle ache, and fatigue may also appear. If left untreated, secondary stage progresses to the tertiary stage....

Acute scrotal pain is a unique emergency in urological field and necessitates a quick intervention because the most probability in this situation is teticular torsion which in case of delay can lead to irreversible testicular damage.The patient is a 24 year old man who complained of sudden left teticular pain from 4 hours ago. Severity of pain had woken him during the night. In history and physical examination the primary findings were inconclusive and the diagnosis of torsion could not be ruled out. Paraclinic study began but in Doppler ultrasonography testicular blood flow was normal.In secondary assessment we noticed a gray small papule in the posterior aspect of left hemiScrotum and then we extracted the lesion from scrotal wall. It was a thick, sucking blood, penetrated Scrotum to half of his body length, so the symptoms resolved.We reported this case to underline the importance of quick management of acute Scrotum in association with paying attention to meticulous history taking and physical examination even in case of emergency.

Background: Testis torsion is an emergency medical situation, requiring decisive action for diagnosis and treatment. 40% cases of scrotal pain are due to this problem. The most important differential diagnosis includes testis appendix torsion, idiopathic scrotal swelling, epididymoorchitis, and epididymal torsion. Materials and methods: This retrospective-descriptive study has performed on 63 children referring to Mofid hospital during 1994-1999. Epidemiological characteristics, clinical manifestations and the age of the candidates were all collected. Results: Diagnosis was made mainly by clinical manifestations. Testis torsion (33.3%) and its appendix torsion (27%) were the most common forms. Meanwhile, most of the candidates had less than one year old (22.2%). The most common presenting sign was pain and swelling (27%), whereas pain itself and swelling itself were reported in 23.8% and 25.4% of the cases, respectively. Among those who undertook operation (73%), 11.1 % had orchidectomy and 20.6% had appendectomy. All of these patients presented with pain, swelling, and redness whereas 80% came over 12 hours post the occurrence of the presenting signs. Conclusion: The study revealed that prompt diagnosis and treatment of the patients with scrotal pain or swelling could prevent from orchidectomy or appendectomy.

Leiomyomas are benign tumors that originate from smooth muscle cells. Leiomyomas are well known to be the commonest neoplasm arising from the uterus but leiomyomas originating from the Scrotum is a rare entity. They originate from the subcutaneous tissue or tunica dartos and can be solitary or multiple. We present a case of solitary scrotal leiomyoma in a 75 years old male who presented with a slowly growing, painless, firm, mobile 4cm lump in right side of Scrotum. Clinically, it was provisionally diagnosed as sebaceous cyst and was excised. Histopathology and Immunohistochemistry (IHC) showed findings consistent with Leiomyoma. There was no cytological atypia or mitosis. The final diagnosis of scrotal leiomyoma was given.

INTRODUCTION: Epidermoid cysts are the most common epithelial cysts. They are well encapsulated cysts and histologically characterized by a cystic lining of stratified squamous epithelial cells and no cutaneous adnexal structures in the stromal tissue. (1) They are within the skin slowly growing benign tumors of the retention cyst’ s character filled with sebaceous and keratinous masses and containing elements of hair follicles. These are single or multifocal spherical nodules of size from a few millimeters to a few centimeters mostly occurring on the scalp, the face, the trunk and in the genitals’ area. Their content is dense and resembles the porridge and the cottage cheese. They are covered with the unchanged, slightly red skin. . . .