title: [A case of mycotic spermatic cord abscess in a continuous ambulatory peritoneal dialysis patient].
abstract: A 66-year-old male patient has been on continuous ambulatory peritoneal dialysis (CAPD) since 1993, and was diagnosed with right hydrocele of the spermatic cord in 1998. He repeatedly developed CAPD-related bacterial peritonitis 3 times. In February 2001, hemodialysis was prescribed for treatment of mycotic peritonitis. A palpable mass was noted in the right inguinal region in October 2001 and a computed tomographic (CT) scan disclosed a 4 cm circular lesion with relatively low density and thick wall in the right inguinal region. Spermatic-orchiectomy was performed. Histological diagnosis was mycosis like Candida on the abscess wall. To our knowledge, this is the first case of spermatic cord abscess in a CAPD patient in the Japanese literature.
authors.affiliation: The Department of Urology, Kakegawa Municipal Hospital.
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Ishida
authors.forename: Kazuya
authors.initials: K
authors.lastname: Yuhara
authors.forename: Yuusuke
authors.initials: Y
authors.lastname: Kanimoto
authors.forename: Masahiro
authors.initials: M
authors.lastname: Numano
mesh_terms: D000038:Abscess / Q000209:etiology* / Q000601:surgery; D000368:Aged; D002177:Candidiasis / Q000209:etiology* / Q000601:surgery; D005832:Genital Diseases, Male / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D009919:Orchiectomy; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000209:etiology; D013085:Spermatic Cord / Q000601:surgery; D006848:Testicular Hydrocele / Q000150:complications / Q000601:surgery