J Korean Soc Pediatr Nephrol.  2003 Apr;7(1):103-105.

A Case of Scrotal Swelling Induced by Tunica Vaginalis Abscess

• Kim JH
• Lim IS
• Lee DK

Abstract

Scrotal swelling may be acute or chronic, painful or painless. Common causes of scrotal swelling in newborns are hydrocele, inguinal hernia, testicular torsion, testicular tumor, scrotal hematoma, meconium peritonitis and epididymitis. Abrupt onset of a painful scrotal swelling necessitates prompt evaluation. Testicular torsion and incarcerated inguinal hernia require urgent surgical management. We report a case of scrotal swelling caused by a tunica vaginalis abscess in a 20-days-old boy. He was admitted to the hospital due to fever, irritability and left scrotal swelling with local heat, tenderness and redness. Exploratory laparotomy was performed to rule out testicular torsion. On the operative field, congestive erythematous inflammation on the left tunica vaginalis was noted and it was filled with a pus like discharge. The cultured organism was Streptococcus agalactiae(group B). He recovered quickly after debridement and administration of empirical antibiotics.

Keyword

Scrotal swelling; Tunica vaginalis abscess; Infected hydrocele

MeSH Terms

Abscess*
Anti-Bacterial Agents
Debridement
Epididymitis
Estrogens, Conjugated (USP)
Fever
Hematoma
Hernia, Inguinal
Hot Temperature
Humans
Infant, Newborn
Inflammation
Laparotomy
Male
Meconium
Peritonitis
Spermatic Cord Torsion
Streptococcus
Suppuration
Anti-Bacterial Agents
Estrogens, Conjugated (USP)