ACUTE SCROTUM SECONDARY TO TICK-BITE.

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.