<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-1351</journal-id>
<journal-title><![CDATA[Acta Radiológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Radiol Port]]></abbrev-journal-title>
<issn>2183-1351</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Radiologia e Medicina Nuclear]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-13512025000300903</article-id>
<article-id pub-id-type="doi">10.25748/arp.37741</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Acute Idiopathic Scrotal Edema: An Important Diagnosis to Consider]]></article-title>
<article-title xml:lang="pt"><![CDATA[Edema Escrotal Agudo Idiopático: Um Diagnóstico Importante a Considerar]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dourado]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[Filipe Barros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[Maria Inês]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dias]]></surname>
<given-names><![CDATA[Sílvia Costa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde de São João Serviço de Radiologia ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>37</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-13512025000300903&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-13512025000300903&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-13512025000300903&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Acute idiopathic scrotal edema is a self-limiting condition characterized by significant skin and dartos fascia swelling, sparing the deeper tissues, testes, and epididymis. Its recognition is essential to avoid unnecessary surgical intervention. We report the case of a 7-year-old boy who presented with complicated acute appendicitis and subsequently developed painless, pronounced scrotal edema and erythema two days after surgery. Ultrasound and Doppler imaging revealed marked scrotal hypervascularity, including the &#8220;fountain sign&#8221; and hypoechoic thickening of the scrotal wall, while the testes and epididymis appeared normal. Acute idiopathic scrotal edema was diagnosed, and it resolved after four days of conservative treatment, confirming the diagnosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O edema escrotal agudo idiopático é uma condição autolimitada caracterizada por edema exuberante da pele e da túnica de dartos, poupando os tecidos mais profundos, os testículos e os epidídimos. O seu reconhecimento é essencial para evitar intervenções cirúrgicas desnecessárias. Descrevemos o caso de um menino de 7 anos internado por apendicite aguda complicada e que, dois dias após a cirurgia, desenvolveu marcado edema e eritema escrotal indolor. A ecografia e o estudo Doppler revelaram hipervascularização escrotal exuberante, incluindo o &#8220;sinal da fonte&#8221;, bem como espessamento hipoecogénico dos planos escrotais, sem alterações dos testículos ou dos epidídimos. Assim, foi feito o diagnóstico de edema escrotal agudo idiopático, tendo-se observado resolução completa do quadro após quatro dias de tratamento conservador.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Escroto]]></kwd>
<kwd lng="pt"><![CDATA[Medicina de emergência pediátrica]]></kwd>
<kwd lng="pt"><![CDATA[Ecografia.]]></kwd>
<kwd lng="en"><![CDATA[Scrotum]]></kwd>
<kwd lng="en"><![CDATA[Pediatric emergency medicine Ultrasonography]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lava]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Simonetti]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bianchetti]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Milani]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute idiopathic scrotal edema: systematic literature review]]></article-title>
<source><![CDATA[Eur J Pediatr Surg]]></source>
<year>2018</year>
<volume>28</volume>
<page-range>222-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mesquita]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Rosas]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adult acute scrotal edema - when radiologists can help to avoid unnecessary surgical treatment]]></article-title>
<source><![CDATA[J Radiol Case Rep]]></source>
<year>2017</year>
<volume>11</volume>
<page-range>24-30</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Geiger]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Epelman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Darge]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The fountain sign]]></article-title>
<source><![CDATA[J Ultrasound Med]]></source>
<year>2010</year>
<volume>29</volume>
<page-range>1233-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
