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Pyocele of scrotum: consequence of spontaneous rupture of testicular abscess. 1989

S A Slavis, and J Kollin, and J B Miller
Department of Urology, Veterans Administration Medical Center, Long Beach, California.

We report 2 cases of spontaneous rupture of the testis secondary to suppurative epididymo-orchitis. Both cases presented with pyoceles and were treated conservatively by scrotal incision and drainage of the pyoceles. This prolonged hospital stay and increased morbidity, since both patients ultimately required orchiectomy. We believe that a pyocele is an indication for prompt surgical exploration, and if the testis is ruptured, an orchiectomy should be done.

UI MeSH Term Description Entries
D008297 Male Males
D009919 Orchiectomy The surgical removal of one or both testicles. Castration, Male,Orchidectomy,Castrations, Male,Male Castration,Male Castrations,Orchidectomies,Orchiectomies
D009920 Orchitis Inflammation of a TESTIS. It has many features of EPIDIDYMITIS, such as swollen SCROTUM; PAIN; PYURIA; and FEVER. It is usually related to infections in the URINARY TRACT, which likely spread to the EPIDIDYMIS and then the TESTIS through either the VAS DEFERENS or the lymphatics of the SPERMATIC CORD. Orchitides
D004322 Drainage The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000038 Abscess Accumulation of purulent material in tissues, organs, or circumscribed spaces, usually associated with signs of infection. Abscesses
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012422 Rupture, Spontaneous Tear or break of an organ, vessel or other soft part of the body, occurring in the absence of external force. Ruptures, Spontaneous,Spontaneous Rupture,Spontaneous Ruptures
D012611 Scrotum A cutaneous pouch of skin containing the testicles and spermatic cords. Scrotums
D013737 Testis The male gonad containing two functional parts: the SEMINIFEROUS TUBULES for the production and transport of male germ cells (SPERMATOGENESIS) and the interstitial compartment containing LEYDIG CELLS that produce ANDROGENS. Testicles,Testes,Testicle

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