Spermatic cord abscess: Case report and imaging findings

Area of Science:

• Urology
• Infectious Diseases
• Radiology

Background:

• Spermatic cord abscess is a rare clinical entity.
• It is typically associated with other genitourinary infections.
• Uncontrolled diabetes mellitus is a potential predisposing factor.

Observation:

• A 49-year-old male presented with right groin swelling and pain.
• Ultrasound revealed a tubular hyperemic structure extending into the scrotal sac.
• Computed tomography identified a concurrent perinephric abscess and right spermatic cord abscess.

Findings:

• The spermatic cord abscess was successfully managed surgically via incision and drainage.
• This report details the first known case of concurrent spermatic cord and perinephric abscess.
• Imaging modalities like ultrasound and CT are crucial for diagnosis.

Implications:

• Clinicians should be aware of this rare condition, especially in diabetic patients.
• Accurate diagnosis through imaging is vital to differentiate from other conditions.
• Prompt surgical intervention is key for managing spermatic cord abscess.