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Constipation as a cause of scrotal pain in children

  • Joel A. Fein
    Affiliations
    From the *Divisions of Emergency Medicine and Urology, The Children's Hospital of Philadelphia, *Departments of Pediatrics and Surgery, The University of Pennsylvania School of Medicine, Philadelphia, PA
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  • Aaron J. Donoghue
    Affiliations
    From the *Divisions of Emergency Medicine and Urology, The Children's Hospital of Philadelphia, *Departments of Pediatrics and Surgery, The University of Pennsylvania School of Medicine, Philadelphia, PA
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  • Douglas A. Canning
    Affiliations
    From the *Divisions of Emergency Medicine and Urology, The Children's Hospital of Philadelphia, *Departments of Pediatrics and Surgery, The University of Pennsylvania School of Medicine, Philadelphia, PA
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      Abstract

      Six boys with scrotal pain and constipation were seen at our hospital within the past 5 years. All boys had no clinical findings of structural or infectious derangements, and experienced relief of testicular symptoms after evacuation of the fecal mass. The association between constipation and scrotal pain has not been previously reported, and may represent direct neural stimulation or chronic inflammation of testicular structures in patients with dysfunctional voiding. Recognition of the association between constipation and subacute or chronic scrotal pain can guide the clinician towards appropriate therapy for these patients. (Am J Emerg Med 2001;19:290-292. Copyright © 2001 by W.B. Saunders Company)

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