Testicular abscess and pyocele

Case contributed by Dr Bruno Di Muzio


Pain and swelling of the scrotum.

Patient Data

Age: 78
Gender: Male

Scrotum ultrasound

Mild diffuse thickening of the skin of the scrotum, nonspecific. Testes are symmetrical with no signs of focal lesions. Absence of hydrocele.

Antibiotic therapy was initiated.


Two weeks later the patient returns in the emergency room

Diffuse thickening of the scrotal wall. Diffusely increased echogenicity of the fat planes is observed in the right inguinal canal region, with some foci of higher echogenicity associated with acoustic shadowing suggestive of gas dissection.
The right testicle has increased dimensions and is heterogeneous echotexture, with two circumscribed nodular lesions which has heterogeneous hypoechoic content and no doppler flow, measuring 4.0 ml and 4.2 ml (abscess).
Hydrocele with heterogeneous hypoechoic content compatible with the hypothesis of pyocele.

Case Discussion

After the initial diagnosis of orchitis, the patient was lost to follow-up treatment. He returned in 2 weeks with a clinical complication characterized on ultrasound as testicular abscesses, pyocele and panniculitis toward the right inguinal canal.

PlayAdd to Share

Case information

rID: 26325
Published: 13th Dec 2013
Last edited: 1st Sep 2015
System: Urogenital
Tag: pyocele
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.