Infected hydrocele in neonate

Infected Hydrocele in a Neonate

“…Since the first report by Waldbaum and Green [1], 3 cases of infected hydroceles in neonates have been described in the literature [2][3][4]. A patent processus vaginalis with seeding of the hydrocele is the most acceptable mechanism in this patient [4], but a case of simultaneous bacterial infection in the urine and hydrocele by the same organism has also been reported [3].…”

“…One of its most unusual variants is the infected hydrocele in a neonate and, to our knowledge, only 4 cases have been reported in the English literature [1][2][3][4]. An infected hydrocele in a neonate may be confused with testicular torsion, incarcerated inguinal hernia and epididymo-orchitis, and the differential diagnosis is not easy.…”

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

“…The etiology of infected hydrocele remains unclear. The different theories include direct transmission of infection from epididymis, testicles or one of its appendages [10,13], hematogenous spread of infection [14], and seeding of infection from the peritoneal cavity through patent processus vaginalis [15,16]. There have been reports of infected hydrocele following appendectomy (the patients were 14 and 20 years old) [17,18].…”

Management of pediatric pyocele using percutaneous imaging-guided aspiration

“…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.…”

“…The majority of cases in the literature emphasize the need for hospitalization and surgical exploration [25] , [26] . Unfortunately, given the infectious nature and resultant inflammation, surgical drainage with preservation of the testis can be challenging and several cases have resulted in orchiectomy [27] , [28] . We present a case of idiopathic pyocele in a 12 day-old boy managed with ultrasound-guided aspiration under local anesthesia.…”