Idiopathic Infant Pyocele: A Case Report and Review of the Literature

Terentiev, Victoria; Dickman, Eitan; Zerzan, Jessica; Arroyo, Amparo

doi:10.1016/j.jemermed.2014.07.038

Cited by 13 publications

(21 citation statements)

References 19 publications

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“…As in our case, accurate diagnosis before exploration is difficult in both infected hydrocele and Amyand hernia [4, 8]. In ultrasonography, an infected hydrocele usually appears as hyperemia of the testis and epididymis in combination with the presence of a surrounding heterogeneous fluid collection [9]. In our case, the ultrasonography was conducted as right testicular torsion and there were detected unclear fluid collection with gas around the right testis, spermatic cord oedema and inguinal hernia sac.…”

Section: Discussionmentioning

confidence: 68%

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Amyand hernia: scrotal pyocele, associated with perforated vermiform appendix and complicated by testicular ischemia in neonate

Omran

Gawrieh

Abdo

et al. 2019

Journal of Surgical Case Reports

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The presence of vermiform appendix in an inguinal hernia sac is known as Amyand’s hernia. This research paper examines the case of a 28-day-old Syrian male presented with a history of an infected right-sided hydrocele from the age of 14 days. Upon admission, ultrasonography was reported as a right testicular torsion. Accordingly, emergency surgical exploration was performed, and by exposing the spermatic cord fascia, 7 mL of pus was drained, revealing the cecum and perforated appendix lying beside the right testis, which showed evidence of ischemia and bluish discoloration.

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Section: Discussionmentioning

confidence: 68%

“…Surgical drainage is considered the definitive therapy of pediatric pyoceles. Many authors report cases of pediatric pyocele, where treatment was with intravenous antibiotics alone [9, 10].…”

Section: Discussionmentioning

confidence: 99%

Amyand hernia: scrotal pyocele, associated with perforated vermiform appendix and complicated by testicular ischemia in neonate

Omran

Gawrieh

Abdo

et al. 2019

Journal of Surgical Case Reports

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“…Due to the purulent collection within the potential space between the visceral and parietal tunica vaginalis around the testicle, it is also described as an infected hydrocele. It typically manifests with fever, tenderness of the scrotum or inguinal canal, erythema and sometimes scrotal discol-oration (1)(2)(3)(4). Since 1975 only a few cases of neonatal pyocele have been described (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Scrotal Pyocele in a Neonate: Review of the Literature and the Lessons Learned

Lozej¹,

Paro–Panjan

Thaler

et al. 2019

CEJoP

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Objective -Bacterial infection of the scrotal appendages (scrotal pyocele) is a rare condition, especially in neonates. It is easy to confuse with other scrotal emergencies that require surgical intervention and orchiectomy. We present a case where pre-and intraoperative diagnosis was not clear and orchiectomy was performed; additionally, review of the literature, diagnostics, treatment options and lessons learned are discussed. Case report -A ten-day old full term neonate, born with bilateral hydroceles and glandular hypospadias, presented with a six day history of poor feeding and irritability; clinical examination revealed an enlarged, erythematous and tender right hemiscotum. Blood cultures, routine laboratory examinations and ultrasound (US) imaging was performed. Postnatal torsion with non-viable testicle, testicular malignancy and epididymo-orchitis were considered in the differential diagnosis. Upon surgical exploration, the testicle appeared non-viable due to severe inflammation and was removed. The patient was treated initially with ampicillin and gentamicin. After Streptococcus pneumoniae was cultured from specimens, treatment was continued with benzyl penicillin. Conclusion -Neonatal scrotal pyocele is an extremely rare condition. The main suggestive features are clinical presentation with signs of infection and an enlarged painful scrotum. US is the investigation of choice to differentiate from a surgical emergency. Free fluid in the scrotal cavity with septae, normal looking testicle on US and no signs of torsion at exploration are diagnostic signs. If diagnosed early, the first line of management is surgical aspiration or decompression, followed by broad-spectrum antibiotic treatment. With delay in diagnosis, the testicle may look non-viable and push surgeons for orchiectomy.

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“…Среди осложнений заболевания описаны случаи возникновения пиоцеле с лихорадкой [10], разрыва яичка у пациентов с гидроцеле после физической на-грузки. G. Yamamichi и соавт.…”

Section: Introductionunclassified

Sclerotherapy of hydrocele with ethanol (a literature review)

Кадыров¹,

Olimov²

2017

Androl. genit. hir.

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Idiopathic Infant Pyocele: A Case Report and Review of the Literature

Cited by 13 publications

References 19 publications

Amyand hernia: scrotal pyocele, associated with perforated vermiform appendix and complicated by testicular ischemia in neonate

Amyand hernia: scrotal pyocele, associated with perforated vermiform appendix and complicated by testicular ischemia in neonate

Scrotal Pyocele in a Neonate: Review of the Literature and the Lessons Learned

Sclerotherapy of hydrocele with ethanol (a literature review)

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