A Case of Scrotal Swelling Induced by Tunica Vaginalis Abscess

Kim, Jong-Hoon; Lee, Dong-Keun; Lim, In-Seok

J Korean Soc Pediatr Nephrol > Volume 7(1); 2003 > Article

J Korean Soc Pediatr Nephrol 2003;7(1): 103-105.

고환초막강의 농양에 의한 음낭 부종 1례

김종훈, 이동근, 임인석

¹중앙대학교 의과대학 소아과학교실
²중앙대학교 의과대학 소아과학교실
³중앙대학교 의과대학 소아과학교실

A Case of Scrotal Swelling Induced by Tunica Vaginalis Abscess

Jong-Hoon Kim, Dong-Keun Lee, In-Seok Lim

¹Departments of Pediatrics, College of Medicine, Chung Ang University
²Departments of Pediatrics, College of Medicine, Chung Ang University
³Departments of Pediatrics, College of Medicine, Chung Ang University

ABSTRACT

Scrotal swelling may be acute or chronic, painful or painless. Common causes of scrotal swelling in newborns are hydrocele, inguinal hernia, testicular torsion, testicular tumor, scrotal hematoma, meconium peritonitis and epididymitis. Abrupt onset of a painful scrotal swelling necessitates prompt evaluation. Testicular torsion and incarcerated inguinal hernia require urgent surgical management. We report a case of scrotal swelling caused by a tunica vaginalis abscess in a 20-days-old boy. He was admitted to the hospital due to fever, irritability and left scrotal swelling with local heat, tenderness and redness. Exploratory laparotomy was performed to rule out testicular torsion. On the operative field, congestive erythematous inflammation on the left tunica vaginalis was noted and it was filled with a pus like discharge. The cultured organism was Streptococcus agalactiae(group B). He recovered quickly after debridement and administration of empirical antibiotics.

Key words: Scrotal swelling | Tunica vaginalis abscess | Infected hydrocele