Painful bilateral swelling and redness of the scrotum. Feels unwell. Non-diabetic.
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Gross edematous swelling and increased blood flow in the scrotum overlying both testes with extension into the groins. Underlying testes show minor reactive hyperemia but there is no hydrocoele. No obvious gas in the soft tissues to indicate necrotizing fasciitis. No focal fluid collection to indicate abscess formation.
Cellulitis of the scrotum is uncommon but clinically significant as it can progress to necrotizing fasciitis (Fournier) especially in the immunosuppressed or diabetics.
- Haury B, Rodeheaver G, Stevenson T et-al. Streptococcal cellulitis of the scrotum and penis with secondary skin gangrene. Surg Gynecol Obstet. 1975;141 (1): 35-9. Pubmed citation
- Yoganathan KG, Blackwell AL. Unusual cause of acute scrotal cellulitis in an HIV positive man. Sex Transm Infect. 2006;82 (2): 187-8. doi:10.1136/sti.2005.017020 - Free text at pubmed - Pubmed citation