Blue scrotum sign of Bryant
The blue scrotum sign of Bryant is an ecchymosis of the scrotum. It is a medical sign associated with ruptured abdominal aortic aneurysm (AAA) that is leaking relatively slowly. Rupture of the aneurysm causes blood to accumulate in the retroperitoneal space and extravasate into the scrotal tissue via the inguinal canal. It was first described by John Henry Bryant in a series of autopsies conducted on people who died of AAA. It is typically seen 3–5 days after leakage of the aneurysm.[1][2][3][4][5]
References[edit]
- ^ White, Fred Ashley (2009). Physical Signs in Medicine and Surgery: An Atlas of Rare, Lost and Forgotten Physical Signs : Includes a Collection of Extraordinary Papers in Medicine, Surgery and the Scientific Method. Museum Press Books. ISBN 978-1-4415-0829-4.
- ^ Cadogan, Mike (2020-10-05). "Blue Scrotum Sign of Bryant". Life in the Fast Lane • LITFL. Retrieved 2021-10-02.
- ^ Ratzan, R. M.; Donaldson, M. C.; Foster, J. H.; Walzak, M. P. (July 1987). "The blue scrotum sign of Bryant: a diagnostic clue to ruptured abdominal aortic aneurysm". The Journal of Emergency Medicine. 5 (4): 323–329. doi:10.1016/0736-4679(87)90262-9. ISSN 0736-4679. PMID 3624839.
- ^ David, John E.; Yale, Steven H.; Goldman, I. Lee (April 2003). "Urology: scrotal pain". Clinical Medicine & Research. 1 (2): 159–160. doi:10.3121/cmr.1.2.159. ISSN 1539-4182. PMC 1069041. PMID 15931305.
- ^ Dargin, James M.; Lowenstein, Robert A. (March 2011). "Ruptured abdominal aortic aneurysm presenting as painless testicular ecchymosis: the scrotal sign of Bryant revisited". The Journal of Emergency Medicine. 40 (3): e45–48. doi:10.1016/j.jemermed.2007.11.066. ISSN 0736-4679. PMID 18614326.