A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula

A 54-year-old male patient presented with pneumaturia. Right scrotal swelling was observed. CT showed an intrascrotal abscess with gas formation. MRI showed a fistula extending from the sigmoid colon to the seminal vesicles. Since there are many diverticula in the sigmoid colon, an abscess caused by...

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Autores principales: Toge, Takuya, Takekawa, Kazuki, Okamoto, Koichi, Ueno, Hideki, Shinmoto, Hiroshi, Ito, Keiichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Inflammation and Infection
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10632120/
https://www.ncbi.nlm.nih.gov/pubmed/37954551
http://dx.doi.org/10.1016/j.eucr.2023.102596
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author Toge, Takuya
Takekawa, Kazuki
Okamoto, Koichi
Ueno, Hideki
Shinmoto, Hiroshi
Ito, Keiichi
author_facet Toge, Takuya
Takekawa, Kazuki
Okamoto, Koichi
Ueno, Hideki
Shinmoto, Hiroshi
Ito, Keiichi
author_sort Toge, Takuya
collection PubMed
description A 54-year-old male patient presented with pneumaturia. Right scrotal swelling was observed. CT showed an intrascrotal abscess with gas formation. MRI showed a fistula extending from the sigmoid colon to the seminal vesicles. Since there are many diverticula in the sigmoid colon, an abscess caused by diverticulitis may have formed a fistula. The scrotal abscess was drained; however, the pus discharge did not decrease. A colostomy was then performed, and the scrotal infection rapidly improved. Sigmoidectomy and fistula transection were performed 11 months after the colostomy. Prompt diagnosis of a sigmoid coloseminal fistula using imaging has led to optimal treatment.
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spelling pubmed-106321202023-11-10 A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula Toge, Takuya Takekawa, Kazuki Okamoto, Koichi Ueno, Hideki Shinmoto, Hiroshi Ito, Keiichi Urol Case Rep Inflammation and Infection A 54-year-old male patient presented with pneumaturia. Right scrotal swelling was observed. CT showed an intrascrotal abscess with gas formation. MRI showed a fistula extending from the sigmoid colon to the seminal vesicles. Since there are many diverticula in the sigmoid colon, an abscess caused by diverticulitis may have formed a fistula. The scrotal abscess was drained; however, the pus discharge did not decrease. A colostomy was then performed, and the scrotal infection rapidly improved. Sigmoidectomy and fistula transection were performed 11 months after the colostomy. Prompt diagnosis of a sigmoid coloseminal fistula using imaging has led to optimal treatment. Elsevier 2023-10-20 /pmc/articles/PMC10632120/ /pubmed/37954551 http://dx.doi.org/10.1016/j.eucr.2023.102596 Text en © 2023 The Authors. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Inflammation and Infection
Toge, Takuya
Takekawa, Kazuki
Okamoto, Koichi
Ueno, Hideki
Shinmoto, Hiroshi
Ito, Keiichi
A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula
title A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula
title_full A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula
title_fullStr A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula
title_full_unstemmed A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula
title_short A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula
title_sort case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula
topic Inflammation and Infection
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10632120/
https://www.ncbi.nlm.nih.gov/pubmed/37954551
http://dx.doi.org/10.1016/j.eucr.2023.102596
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