title: Chronic epididymitis with scrotal vasocutaneous urinary fistula.
abstract: Chronic Epididymitis is a relatively rare problem in boys and is often enigmatic in its etiology. It is often associated with urinary tract abnormalities in infants and prepubertal children. This report describes a rare and unusual case of a chronic epididymitis with acquired scrotal vasocutaneous urinary fistula in an 8-mo-old boy who was found to have a large prostatic utricular cyst and ectopic vas insertion. The authors discuss embryology, pathophysiology, diagnostic dilemma and different treatment options.
authors.affiliation: Department of Pediatric Surgery, Vanivilas Hospital, Bangalore Medical College and Research Institute, Bangalore, India. drsrraghu@gmail.com
authors.forename: Raghu Sampally
authors.initials: RS
authors.lastname: Ramareddy
authors.forename: Alladi
authors.initials: A
authors.lastname: Anand
authors.forename: O S
authors.initials: OS
authors.lastname: Siddappa
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002908:Chronic Disease; D003560:Cysts / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D004823:Epididymitis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D007231:Infant, Newborn; D008297:Male; D011467:Prostate / Q000473:pathology*; D012611:Scrotum / Q000000981:diagnostic imaging; D018805:Sepsis / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome; D014463:Ultrasonography; D062885:Urinary Catheters; D014548:Urinary Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D014649:Vas Deferens / Q000473:pathology / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents