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Bilateral idiopathic infantile pyoceles: a case report
1Department of Surgery, 803 Military General Hospital, Taichung, Taiwan, ROC.
Insights
A 15-day-old infant developed bilateral scrotal pyoceles due to Escherichia coli infection. This rare condition, often linked to meconium peritonitis, required surgical intervention for treatment.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Infectious Diseases
Background:
- Bilateral scrotal pyoceles are rare in neonates.
- Escherichia coli is a common pathogen in neonatal infections.
Observation:
- A 15-day-old infant presented with scrotal swelling, erythema, tenderness, and fever.
- Scrotal sonography revealed fluid with internal echoes in both hydrocele sacs.
Findings:
- Aspiration of scrotal fluid identified Escherichia coli.
- Diagnosis of bilateral scrotal pyoceles was confirmed.
- Meconium peritonitis is a frequent cause of neonatal pyoceles.
Implications:
- Prompt diagnosis and surgical drainage are crucial for managing neonatal pyoceles.
- Understanding the etiologies of neonatal scrotal masses is important for pediatricians.
- This case highlights the need for early intervention in neonatal infections.
Abstract:
A 15-day-old infant was admitted to the 803 Military Hospital with swelling, bilateral erythematous changes, a tender firm mass in the scrotum and fever of six hours' duration. Scrotal sonography showed accumulated fluid with internal echoes in both hydrocele sacs. Aspirated fluid was found to contain Escherichia coli and bilateral scrotal pyoceles was diagnosed. The most common etiologic factor for this is meconium peritonitis, with surgical drainage being the necessary treatment. The case is reported, with a review of the literature.