[A case of perineal abscess due to urethral fistula in a patient with spinal cord injury].
We report a case of perineal subcutaneous abscess due to urethral fistula in a patient with spinal cord injury. A 39-year-old male visited our hospital complaining of left scrotal swelling and fever. The left scrotum and perineal skin were swollen to the size of a goose egg, and pus was discharged from the perineal swollen bump. Magnetic resonance imaging (MRI) suggested an urethral fistula with a large subcutaneous abscess. The abscess was resected with debridement of necrotic tissue, and a cystostomy was placed. Endoscopy revealed a fistula in the bulbar urethra. The characteristics of this rare entity are discussed.
Department of Urology, Megumino Hospital.
Shoichi
S
Iida
Hiromichi
H
Iuchi
Yutaka
Y
Sasaki
Takashi
T
Chujyo
Yasunobu
Y
Nakata
Yuji
Y
Saga
Shigeo
S
Kaneko
Sunao
S
Yachiku
D000038:Abscess / Q000209:etiology*; D000328:Adult; D005832:Genital Diseases, Male / Q000209:etiology*; D006801:Humans; D008297:Male; D010502:Perineum; D013119:Spinal Cord Injuries / Q000150:complications*; D014522:Urethral Diseases / Q000150:complications*; D014548:Urinary Fistula / Q000150:complications*