Idiopathic Infected Hydrocele in a Toddler: A Case Report with Review

Sagar, Jayesh; Kumar, Suhas; Mondal, Dodul; Shah, Digish

doi:10.1100/tsw.2006.371

Cited by 4 publications

(4 citation statements)

References 16 publications

(17 reference statements)

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“…However, in recent years, many cases who were cured by conservative treatment have been reported. Sagar et al [10] used intravenous antibiotics to treat neonatal pyocele. After 4 days of treatment, the color Doppler ultrasound suggested the fluid of pyocele changed from turbidity to good sound transmission, and the clinical symptoms were improved.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Pyocele of Tunica Vaginalis in 56 Newborns

Zhu

et al. 2021

Urol Int

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Objective: This study aimed to explore the clinical characteristics, treatment methods, and prognosis of neonatal pyocele of tunica vaginalis and to provide a reference for the clinical treatment. Methods: A total of 56 newborns with pyocele of tunica vaginalis were admitted to our hospital due to the scrotal emergency from January 2015 to January 2020. Our study retrospectively analyzed these 56 cases. Of the 56 cases, including 32 full-term infants and 24 premature infants, age ranged from 1 to 27 days. Initially, conservative treatment (intravenous antibiotic treatment) was applied to 42 cases, and surgery to 14 cases. Then, 7 underwent surgical exploration during the conservative treatment, and 2 cases with initial surgical treatment experienced orchiectomy because of complete necrosis. For 56 cases, the average follow-up time was 18 months. Results: The clinical recovery time of cases with conservative treatment ranged from 8 to 17 days, with an average of 11.02 ± 2.31 days. The clinical recovery time of cases with surgery ranged from 6 to 15 days, with an average of 9.28 ± 2.78 days. During the follow-up, for 56 cases, except for the 2 cases with orchiectomy, the testicular position and Doppler flow both went back to normal, of the 42 cases with initial conservative treatment, 1 case experienced testicular retardation, of the 14 cases with initial surgical treatment, 2 cases experienced testicular retardation, and hydrocele of 42 cases were self-healed. Conclusions: Neonatal pyocele of tunica vaginalis is mostly secondary to intra-abdominal infection. Color Doppler ultrasound is helpful for the diagnosis. The percutaneous aspiration is a way of collecting pathogenic bacteria during the conservative treatment. If the color Doppler suggests testicular involvement, surgical exploration should be performed.

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Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Pyocele of Tunica Vaginalis in 56 Newborns

Zhu

et al. 2021

Urol Int

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“…Several technics are available for the treatment of idiopathic VH. The two main technics are the plication of vaginal according to Lord and the hydrocelectomy [5]- [8]. In the hydrocelectomy a resection of the vaginal is performed followed by hemostatic continuous suture.…”

Section: Discussionmentioning

confidence: 99%

“…It has social, economic, sexual and psychological implications [4]. The infection of vaginal fluid can be done from epididymo-testicular infection [5]. Infection may also follow a septic puncture-aspiration.…”

Section: Introductionmentioning

confidence: 99%

Infected Vaginal Hydrocele Due to a Septic Puncture-Aspiration: A Series of Seven Cases Collected at Yalgado Ouedraogo Teaching Hospital of Ouagadougou

Kaboré

et al. 2016

OJU

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Objective: To describe diagnostic and therapeutic outcomes of infected vaginal hydrocele.Material and Methods: This is a retrospective descriptive study over a period of two years from June 2013 to May 2015 at the urological emergency department of Yalgado Ouédraogo University Hospital (CHU-YO). Results: We collected seven cases during the period of study. The average age of patients was 35 years. Two patients (2/7) were from urban and five from rural areas. Five patients (5/7) were married and two (2/7) unmarried. Six patients (6/7) were farmers and one (1/7) was civil servent. Clinical examination findings were dominated by bilateral painful scrotal swelling and fever in all cases, a scrotal necrosis in two cases. The dominant indication of the punctureaspiration was discomfort during sexual intercourse (5/7). At the opening of the scrotum purulent fluid was aspirated in all cases, and we performed a unilateral orchidectomy in two cases. A hydrocelectomy was performed in all cases. The postoperative evolution was simple in all patients. Conclusion: The puncture-aspiration must be avoided because the risk of infection and the high recurrence rate.

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“…All patients under the age of 18 months were included in the review. Since 1957, there have been only 28 described reports of the condition [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] . A review of these case reports and series concluded that these pediatric patients generally present with fever, tenderness of the scrotum or inguinal canal, erythema, and sometimes scrotal discoloration.…”

Section: Introductionmentioning

confidence: 99%

Management of pediatric pyocele using percutaneous imaging-guided aspiration

Oberlin

Cheng

2015

International Journal of Surgery Case Reports

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HighlightsWe present the first description of percutaneous aspiration of infant pyocele.Clinical presentation and etiology of infection help guide the clinical decision-making and management of patient on an individual basis.Percutaneous drainage avoids open surgical exploration, reducing the potential for orchiectomy in cases of complicated, complex infections if percutaneous aspiration is successful.This minimally invasive technique has the potential to expedite recovery, reduce the risks of operative exploration, and be performed in the absence of general anesthesia in select cases.

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Idiopathic Infected Hydrocele in a Toddler: A Case Report with Review

Cited by 4 publications

References 16 publications

Clinical Analysis of Pyocele of Tunica Vaginalis in 56 Newborns

Clinical Analysis of Pyocele of Tunica Vaginalis in 56 Newborns

Infected Vaginal Hydrocele Due to a Septic Puncture-Aspiration: A Series of Seven Cases Collected at Yalgado Ouedraogo Teaching Hospital of Ouagadougou

Management of pediatric pyocele using percutaneous imaging-guided aspiration

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