Acute scrotum is a frequent occurrence in the pediatric emergency department, and ultrasound is often utilized to narrow the difference in diagnosis. Point-of-care ultrasound (POCUS) is gradually utilized and has the potential to detect pediatric testicular torsion.

The term "acute scrotum" refers to " the occurrence of new-onset pain, swelling, and/or tenderness in the intrascrotal contents." Depending on the etiology, cases might document the onset of symptoms as quickly as a few minute or as long as one to two days. A range of disease processes are encompassed by the term 'acute scrotum.'" "Acute scrotum." Acute testicular torsion is a serious condition that is reversible, but its time dependency necessitates rapid evaluation and diagnosis. A median raphe subdivides the scrotum into two compartments, which are fibromuscular sacs. The wall consists of skin, cremasteric fascia, internal and external spermatic fascia, superficial fascia, and dartos muscle ranging from superficial to deep. Along with the dartos muscle, the raphe is continuous. The testes are characterized by a homogeneous structure composed of fine, medium-level echoes and take on an ovoid shape at US. Prepuberal testes have lower echogenicity. In elderly cases, the testicular parenchyma may exhibit a "striated" pattern, that is believed to be the result of increasing interstitial fibrosis and atrophy of glandular elements.