The author experienced a case of $Henoch-Sch"{o}nlein$ purpura with epididymitis in a 6-year-old boy who was admitted to our hospital due to left scrotal pain and the relapse of purpura on lower extremities for 3 days. Scrotal ultrasonography on admission revealed homogenously enlarged left epididymal head and small amount of fluid collection in left tunical space. The size of left epididymal head decreased gradually with no more evidence of fluid collection on day 7 and recovered completely on day 21. The author reports a case of $Henoch-Sch"{o}nlein$ purpura with epididymitis with brief review of related literatures.