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Scrotal pyocele secondary to gastrointestinal perforation in infants: a case series

Soo-Hong Kim1,2, Yong-Hoon Cho1,2, Hae-Young Kim2

  • 1Division of Pediatric Surgery, Department of Surgery, Pusan National University Yangsan Hospital and Pusan National University Children's Hospital, Yangsan, Korea.

Journal of Yeungnam Medical Science
|December 14, 2021
PubMed

Insights

Pyocele in infants, a rare condition, can result from abdominal infections spreading through a patent processus vaginalis. Prompt diagnosis and treatment are crucial to prevent testicular loss in infants with acute scrotum.

Area of Science:

  • Pediatric Surgery
  • Neonatal Urology

Background:

  • Pyocele in infants is infrequently documented but represents an emergent condition.
  • Prompt recognition and treatment are vital to avert testicular compromise.

Observation:

  • Three infant cases of scrotal pyocele are presented, stemming from intraperitoneal infection spreading via a patent processus vaginalis.
  • Two infants underwent surgical intervention, while one received percutaneous aspiration and antibiotics.

Findings:

  • The study highlights the link between gastrointestinal perforation, peritonitis, and subsequent pyocele development in infants.
  • A patent processus vaginalis serves as a conduit for infection or inflammatory material from the abdominal cavity to the scrotum.

Implications:

  • Pyocele should be considered in the differential diagnosis of acute scrotum in infants, particularly those with a history of peritonitis from gastrointestinal perforation.
  • This condition underscores the importance of recognizing potential pathways of infection in neonates.

Keywords:
HydroceleInfantPatent processus vaginalisPyoceleScrotum

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