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Acute scrotum as a complication of Thiersch operation for rectal prolapse in a child
Mohammad M Saleem1, Hashem Al-Momani
1Department of Pediatric Surgery, Jordan University Hospital, Amman 11942, Jordan. mohomari@hotmail.com
Insights
A pediatric case of acute scrotal condition, caused by perianal infection from a Thiersch wire used for rectal prolapse, highlights the need for post-removal follow-up.
Area of Science:
- Pediatric Surgery
- Urology
- Infectious Disease
Background:
- A four-year-old male presented with an acute scrotal condition one year after surgical treatment for idiopathic rectal prolapse.
- The treatment involved the use of a Thiersch wire for rectal prolapse management.
Observation:
- The acute scrotum was attributed to a spreading perianal infection originating from erosion of the Thiersch wire.
- The infection led to significant scrotal pathology.
Findings:
- The patient was treated with antibiotics and surgical removal of the Thiersch wire.
- The child experienced an uneventful recovery following the intervention.
Implications:
- This case underscores the importance of continued patient monitoring after Thiersch wire removal.
- Recognizing anal lesions as a potential cause of acute scrotal conditions is crucial for diagnosis.
- Thorough history taking and physical examination are essential in managing such cases.
Background:
We report a case of acute scrotal condition that presented in a four year old male child one year after being treated for an idiopathic rectal prolapse utilizing Thiersch wire.
Case Presentation:
The acute scrotum had resulted from spreading perianal infection due to erosion of the circlage wire. The condition was treated with antibiotics and removal of the wire. The child made an uneventful recovery.
Conclusion:
This case highlights that patients with Thiersch wire should be followed until the wire is removed. Awareness of anal lesions as a cause of acute scrotal conditions, and history and physical examination are emphasized.
