Presentation
"Scrotal mass".
Patient Data
Mildly dilated colon. Scrotal gas. Foley catheter in place.
Mild gas/fluid distention of the colon extending to the splenic flexure with normal caliber of the descending and sigmoid colon. Subcutaneous stranding within the lower ventral pelvis extending into the base of the penis and bilateral scrotum. Extensive subcutaneous gas and fluid tracking from the corpora spongiosum inferiorly around the base of the penis cephalad into the ventral pelvic subcutaneous tissues. There is a peripherally enhancing left scrotal collection which is partially organized measuring 5.5 x 2.9 x 3.9 cm. Foley catheter in place.
Case Discussion
The left scrotal collection likely represents an abscess. Gas extending from the penis into adjacent subcutaneous soft tissues is suspicious for Fournier gangrene.
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