Presentation
Painful bilateral swelling and redness of the scrotum. Feels unwell. Non-diabetic.
Patient Data
Age: 30 years
Gender: Male
From the case:
Scrotal cellulitis
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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.