Open AccessScrotal pyocele secondary to gastrointestinal perforation in infants: a case series
Author(s) -
Soo-Hong Kim,
Yong-Hoon Cho,
Hae-Young Kim,
Narae Lee,
Young Mi Han,
Shin Yun Byun
Publication year - 2023
Publication title -
journal of yeungnam medical science
Language(s) - English
Resource type - Journals
ISSN - 2799-8010
DOI - 10.12701/yujm.2021.01508
Subject(s) - medicine , perforation , scrotum , peritonitis , abdominal cavity , surgery , peritoneal cavity , differential diagnosis , intravenous antibiotics , gastrointestinal perforation , antibiotics , pathology , materials science , biology , microbiology and biotechnology , punching , metallurgy
Pyocele in infants is rarely described in the literature, but it is an emergent condition that requires rapid recognition and treatment to prevent testicular loss. If peritonitis due to gastrointestinal perforation occurs, abdominal contamination may spread through a patent processus vaginalis in an infant, which may lead to pyocele. We report the cases of three infants with scrotal pyocele due to the spread of infection or inflammatory material from the intraperitoneal cavity through a patent processus vaginalis. Two infants were surgically treated, while the other was treated with percutaneous aspiration and intravenous antibiotic administration. Although rare, pyocele should be considered in the differential diagnosis of acute scrotum in infants, especially in infants who previously had peritonitis due to gastrointestinal perforation.