title: Spermatic cord abscess: a rare complication of epididymo-orchitis, the diagnosis and management.
abstract: We present a case of a 54-year-old man who had a history of poorly controlled diabetes and end-stage renal failure on haemodialysis. He presented with an acute left groin swelling that was diagnosed to be a rare occurrence of spermatic cord abscess. Two months prior to this, he had had an episode of bacterial epididymo-orchitis that was treated with oral antibiotics. An urgent CT of the abdomen and pelvis was performed to rule out incarcerated inguinal hernia. The spermatic cord abscess was initially managed with appropriate intravenous antibiotics and ultrasound-guided percutaneous drainage. When the pus eventually accumulated in the scrotum, an open incision and drainage of the scrotum was also performed. He achieved complete resolution after 2 months.
authors.affiliation: Department of Urology, Changi General Hospital, Singapore, Singapore.
authors.forename: Wai Loon
authors.initials: WL
authors.lastname: Yam
authors.affiliation: Department of Urology, Changi General Hospital, Singapore, Singapore.
authors.forename: Foo Cheong
authors.initials: FC
authors.lastname: Ng
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D004823:Epididymitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D009920:Orchitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013085:Spermatic Cord; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents
references.citation: Hinyokika Kiyo. 2005 Jan;51(1):37-9
references.pmid: 15732340
references.citation: Radiat Med. 2008 Feb;26(2):81-3
references.pmid: 18301983
references.citation: BMJ Case Rep. 2013 Mar 21;2013:
references.pmid: 23524346