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Scrotal abscess

Contents

  • 1 Background
  • 2 Differential Diagnosis
    • 2.1 Testicular Diagnoses
    • 2.2 Skin and Soft Tissue Infection
    • 2.3 Look-A-Likes
  • 3 Evaluation
  • 4 Management
  • 5 See Also
  • 6 References

Background

  • Must differentiate scrotal wall abscess versus intrascrotal organ involvement

Differential Diagnosis

Testicular Diagnoses

  • Cellulitis
  • Epididymitis
  • Fournier gangrene
  • Hematocele
  • Hydrocele
  • Indirect inguinal hernia
  • Inguinal lymph node (Lymphadenitis)
  • Orchitis
  • Scrotal abscess
  • Spermatocele
  • Tinea cruris
  • Testicular rupture
  • Testicular torsion
  • Testicular trauma
  • Testicular tumor
  • Torsion of testicular appendage
  • Varicocele

Skin and Soft Tissue Infection

  • Cellulitis
    • Hand cellulitis
    • Facial cellulitis
    • Orbital cellulitis
  • Erysipelas
  • Lymphangitis
  • Folliculitis
  • Abscess
    • Anorectal abscess
    • Bartholin gland abscess
    • Scrotal abscess
  • Necrotizing soft tissue infections
    • Necrotizing fasciitis
    • Necrotizing myositis
    • Necrotizing cellulitis
  • Mycobacterium marinum

Look-A-Likes

  • Sporotrichosis
  • Osteomyelitis
  • Deep venous thrombosis
  • Pyomyositis

Evaluation

  • Ultrasound

Management

  • Simple hair follicle scrotal wall abscess
    • I+D
    • Antibiotics rarely needed (unless signs of cellulitis, systemic involvement and/or immunosuppressed)
  • Intrascrotal organ involvement
    • Urology consult

See Also

  • Testicular Diagnoses
  • Abscess
  • Incision and drainage

References

Authors:

Jonathan Ameli, Jordan Swartz, Neil Young, Daniel Ostermayer, Ross Donaldson

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This page was last edited 17:54, 24 June 2019 by Ross Donaldson. Donate