Epididymo-orchitis caused by Behcet?s disease: An unusual cause of acute scrotum

Abstract

Hamdi Ozcan, Canan Ceran

Behçet’s disease (BD) is a rare systemic inflammatory disorder of the blood vessels and tissues.  It is rarely seen in children. The clinical course of the disease in children is similar to that of the adults by symptoms such as recurrent oral ulcers, genital ulcers and ocular inflammation. Additionally, urological manifestations rarely seen in BD.  Here we present two children with BD and epididymo-orchitis confusing with testicular torsion. Since BD is rarely observed in children, it is very difficult to diagnose the patients with epididymo-orchitis. Treatment for the testicular torsion is immediate surgical therapy to prevent the testicular necrosis. On the other hand epididymo-orchitis caused by BD should be treated medically. Unnecessary surgery on BD patient can affect morbidity negatively.  We aimed to take attention to this rare condition to prevent the patients from unnecessary operation.