Introduction: Acute scrotum is a surgical emergency in children. There are many differential diagnoses of which testicular torsion is the most critical. Materials and Methods: This is a prospective study of retrospective data of 20 boys below 12 years with acute scrotum. Data analysis was done with respect to age, duration of presentation, clinical signs and symptoms, blood count and urine analysis, Doppler USG, management and complications. Results: 4 patients underwent orchiectomy for nonviable testis following testicular torsion. Patients with epididymo­orchitis responded to management with intravenous antibiotics. Conclusion: Early referral and prompt diagnosis and intervention in patients with acute scrotum is necessary for testicular salvage.

Keywords: Acute Scrotum; Children; Testicular Torsion