title: Spermatic cord abscess with concurrent prostatic abscess involving the seminal vesicle.
abstract: Prostatic abscess involving the seminal vesicle has become rare following the development of effective antibiotic treatments. To our knowledge, we report the first case in the English-language literature of a patient with a spermatic cord abscess and a concurrent prostatic abscess. We examined an 81-year-old man for swelling and pain in the left inguinal region and performed computed tomography (CT) that later confirmed the suspected diagnosis of left inguinal hernial strangulation. We performed urgent surgical drainage of a left spermatic cord abscess; and under the correct diagnosis by CT, he was successfully treated further with antibiotics and transperineal drainage of a prostatic abscess extending to the seminal vesicle. We highlight that familiarity with such a rare condition is overwhelmingly essential for patient management and that CT is the most valuable imaging procedure for diagnosing such cases.
authors.affiliation: Department of Radiology, Tokyo Women's Medical University, Medical Center East, 2-1-10 Nishiogu, Tokyo, 116-8567, Japan. machira@dnh.twmu.ac.jp
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Machida
authors.forename: Eiko
authors.initials: E
authors.lastname: Ueno
authors.forename: Hayakazu
authors.initials: H
authors.lastname: Nakazawa
authors.forename: Mikihiko
authors.initials: M
authors.lastname: Fujimura
authors.forename: Fumio
authors.initials: F
authors.lastname: Ito
mesh_terms: D000038:Abscess / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D015310:Cefotiam / Q000008:administration & dosage; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006552:Hernia, Inguinal / Q000150:complications; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology; D011467:Prostate / Q000000981:diagnostic imaging* / Q000187:drug effects / Q000601:surgery; D011469:Prostatic Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D011856:Radiographic Image Enhancement / Q000379:methods; D035583:Rare Diseases; D012669:Seminal Vesicles / Q000000981:diagnostic imaging* / Q000187:drug effects / Q000601:surgery; D013085:Spermatic Cord / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional / Q000379:methods
chemical_list: D000900:Anti-Bacterial Agents; D003287:Contrast Media; D015310:Cefotiam