Conservative management of scrotal pyoceles – A case series and literature review

Brancati, Francesca; Fredericks, Peter James; Liu, James H.; Solomon, Alex J.; Cohen, Andrew J.

doi:10.1016/j.ajem.2023.01.051

Cited by 2 publications

(2 citation statements)

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“…Pyocele can be managed conservatively by fluid resuscitation, pain management, and empirical antibiotics [ 5 ]. However, immediate surgical exploration, debridement, and removal of the devitalized testicular tissue with the closure of the ruptured membranes form the mainstay of the treatment [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

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Post-traumatic Ruptured Scrotal Collection: Pyocele or Hematocele?

Sood,

Mishra,

Khandelwal

et al. 2023

Cureus

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Ultrasound is the modality of choice for detecting the causes of acute scrotal pain and diagnosing scrotal pathologies. Pyocele is a term used for describing the purulent fluid collection in the scrotal sac, which may present to the hospital as a complication of testicular abscess, epididymal-orchitis, or post-trauma. Ultrasound is the modality of choice for diagnosing such pathologies. The presented case is of a young male from rural India who developed a pyocele post-trauma and underwent an ultrasound examination, where it was found to be a ruptured pyocele with contents spreading into the hemi-scrotum. Rupture of the tunica is frequently associated with the hematocele; however, pyocele is less commonly associated with rupture. The case report discusses the causes of pyocele, imaging features, management, and complications of this pathology along with other possible differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

“…Ultrasound is the imaging modality of choice for diagnosing scrotal pathologies [ 4 ]. Patients are initially treated with fluid resuscitation, empirical antibiotics, and pain management, but in a few cases, empirical treatments are useless, and emergency surgical drainage is necessary [ 5 ].…”

Section: Introductionmentioning

confidence: 99%