Scrotal cellulitis

Case contributed by Dr Chris O'Donnell

Presentation

Painful bilateral swelling and redness of the scrotum. Feels unwell. Non-diabetic.

Patient Data

Age: 30
Gender: Male
Modality: Ultrasound

Gross oedematous swelling and increased blood flow in the scrotum overlying both testes with extension into the groins. Underlying testes show minor reactive hyperaemia but there is no hydrocoele. No obvious gas in the soft tissues to indicate necrotising fasciitis. No focal fluid collection to indicate abscess formation.

Case Discussion

Cellulitis of the scrotum is uncommon but clinically significant as it can progress to necrotising fasciitis (Fournier) especially in the immunosuppressed or diabetics.

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Case Information

rID: 33755
Case created: 22nd Jan 2015
Last edited: 21st Nov 2015
System: Urogenital
Inclusion in quiz mode: Included

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