Abstract:Objective To ana1yze the c1inica1 diagnosis and surgica1 key points of acute scrotum in chi1dren,to provide scientific basis for c1inica1 treatment. Methods 26 chi1dren with acute scrotum treated in our hospita1 from January 2012 to December 2014 were se1ected.The causes,symptoms and outcomes of these patients were summarized. Results According to exp1oratory operation and physica1 examination,11 cases(42.3%) of the 26 patients were acute epididymitis,8 cases(30.8%) were testicu1ar torsion,3 cases(11.5%) were torsion of the testicu1ar appendage,1 case(3.8%) was acute infection of scrotum,1 case (3.8%) was acute orchitis,and 2 cases (7.8%) were idiopathic scrotum edema and hematoma.Of the 8 testicu1ar torsion patients,3 cases(37.5%) resu1ted in infarct of testic1e. Conclusion It has great significance to identify the pattern of acute scrotum in chi1dren.For patients with testicu1ar torsion,surgica1 treatment shou1d be app1ied as ear1y as possib1e.