Pyocele of the scrotum in the pediatric patient

Kraft, Kate H.; Lambert, Sarah M.; Snyder, Howard M.; Canning, Douglas A.

doi:10.1016/j.jpurol.2011.10.005

Cited by 19 publications

(30 citation statements)

References 16 publications

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“…An oft-quoted report by Ingram et al showed that in 50 normal boys ranging in age from 2 months to 13 years, blood fl ow could be detected by color Doppler in both testes in only 58 % of boys and 34 % had no detectable fl ow [ 21 ]. Albrecht …”

Section: Testicular Torsionmentioning

confidence: 99%

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Scrotal Imaging

Fine¹,

Collins²,

Palmer³

2013

Pediatric and Adolescent Urologic Imaging

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Section: Testicular Torsionmentioning

confidence: 99%

“…Pyoceles are rare in the pediatric population [ 21 ]. Its presence is suggested by the clinical history, which usually includes prior surgery or a scrotal or perineal skin infection.…”

Section: Pyocele/abscessmentioning

confidence: 99%

Scrotal Imaging

Fine¹,

Collins²,

Palmer³

2013

Pediatric and Adolescent Urologic Imaging

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“…Idiopathic infant pyocele, also described as infected hydrocele, is a rare urologic emergency and cause of acute scrotum that is poorly described in the literature [1] . We performed a systematic review of the literature using pubmed and the search terms “infected hydrocele” “pyocele” “pyocele of scrotum” to determine the number of cases of infant pyocele.…”

Section: Introductionmentioning

confidence: 99%

“…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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“…Also, some pediatric surgeons believe that any boy with acute scrotal pain and suspicion of testicular torsion on physical examination should undergo scrotal exploration [13]. Therefore a number of clinicians do not perform additional examination of children with «acute scrotum» and proceed directly to operative intervention [14].…”

mentioning

confidence: 99%

Diagnosis and treatment children with acute scrotal pain. Twenty years single centre experience.

Minaev¹,

Bolotov²

2015

Medical news of the North Caucasus

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The aim of study was to determine the value of Doppler ultrasonography in the diagnosis of acute scrotal pain in the different stages of acute scrotum.The case notes of 344 boys with an acute scrotum aged from 1st day of life to 17 years old were reviewed in the Department of Pediatric Surgery of StSMU (Russia). The size and ultrasonography structure of the testis and its epididymis, as well as the testicular blood flow, were assessed.The sensitivity of ultrasonography findings for testicular torsion without scrotal edema was relatively low (50%), but with scrotal edema -increased to 83.3%. The specificity of sonography for testicular torsion in the presence or absence of edema of the scrotum did not change significantly (83.2%). The characteristic ultrasonography evidence of torsion of a testicular appendage was an increase in size of the epididymis and its heterogeneous echostructure. The sensitivity of these signs was high (83.3%) in all boys. The sonography signs of acute epididymitis are an enlarged epididymis and its homogeneity. The sensitivity (83.3%) and specificity (87.5%) of the findings did not depend on the presence or absence of scrotal edema. Operative exploration was performed on 240 patients. Surgical findings were: testicular torsion -61, torsion of a testicular appendage -164, acute epididymitis -20.Thus, the sensitivity and specificity of physical examination signs of the acute scrotum in the absence of scrotal edema in children are higher than the ultrasonography findings, but significantly drops after the onset of scrotal edema. Key words: scrotal pain, testicular torsion, diagnosis management, childrenЦель исследования -определить диагностические возможности допплеровского ультразвуко-вого исследования при острых заболеваниях яичка у детей в разные периоды заболевания.Было обследовано 344 мальчика в возрасте от 1 дня жизни до 17 лет с синдромом «острой мо-шонки». При ультразвуковой допплерографии оценивали размер и эхоструктуру яичка и его при-датка, а также показатели внутриорганного кровотока.Чувствительность ультразвуковых симптомов перекрута яичка в отсутствие отека и гиперемии мошонки была достаточно низкой (50%), однако значительно возрастала при присоединении вос-палительных явлений со стороны мошонки (до 83,3%). Специфичность ультразвуковых симптомов перекрута яичка от стадии заболевания не зависела и составляла 83,2%. Характерными ультразву-ковыми симптомами перекрута гидатиды были увеличение размеров придатка и гетерогенность его структуры. Чувствительность этих признаков была достаточно высокой (83,3%). Ультразвуко-выми симптомами острого эпидидимита являлись: незначительное увеличение придатка яичка при сохранении его гомогенности. Чувствительность и специфичность этих признаков были высокими (83,3 и 87,5% соответственно) и не зависели от наличия или отсутствия отека и гиперермии мо-шонки. Всего было прооперировано 240 детей, из них: с перекрутом яичка -61, с перекрутом гида-тиды -164 и с острым эпидидимитом -20.Таким образом, чувствительность и специфичность клинических симпто...

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Pyocele of the scrotum in the pediatric patient

Cited by 19 publications

References 16 publications

Scrotal Imaging

Scrotal Imaging

Management of pediatric pyocele using percutaneous imaging-guided aspiration

Diagnosis and treatment children with acute scrotal pain. Twenty years single centre experience.

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