Scrotal abscess: Difference between revisions
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==Background== | ==Background== | ||
*Must differentiate scrotal wall abscess versus intrascrotal organ involvement | *Must differentiate scrotal wall [[abscess]] versus intrascrotal organ involvement | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ | {{Testicular DDX}} | ||
{{SSTI DDX}} | |||
== | ==Evaluation== | ||
*[[Ultrasound]] | *[[Ultrasound]] | ||
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*Simple hair follicle scrotal wall abscess | *Simple hair follicle scrotal wall abscess | ||
**[[I+D]] | **[[I+D]] | ||
**[[Antibiotics]] rarely needed (unless signs of [[cellulitis]] | **Be sure to palpate for the spermatic cord, urethra, and ipsilateral testicle. If possible, sweep these structures out of the way | ||
**If you feel unable to isolate the above structures from the abscess site, it may be safest to consult urology | |||
**[[Antibiotics]] rarely needed (unless signs of [[cellulitis]], systemic involvement and/or immunosuppressed) | |||
*Intrascrotal organ involvement | *Intrascrotal organ involvement | ||
**Urology consult | **Urology consult | ||
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==See Also== | ==See Also== | ||
*[[Testicular Diagnoses]] | *[[Testicular Diagnoses]] | ||
*[[Abscess]] | |||
*[[Incision and drainage]] | |||
==References== | ==References== | ||
Latest revision as of 19:31, 13 February 2020
Background
- Must differentiate scrotal wall abscess versus intrascrotal organ involvement
Differential Diagnosis
Testicular Diagnoses
- Scrotal 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
- Pyocele
- Testicular malignancy
- Scrotal wall hematoma
Skin and Soft Tissue Infection
- Cellulitis
- Erysipelas
- Lymphangitis
- Folliculitis
- Hidradenitis suppurativa
- Skin abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Look-A-Likes
- Sporotrichosis
- Osteomyelitis
- Deep venous thrombosis
- Pyomyositis
- Purple glove syndrome
- Tuberculosis (tuberculous inflammation of the skin)
Evaluation
Management
- Simple hair follicle scrotal wall abscess
- I+D
- Be sure to palpate for the spermatic cord, urethra, and ipsilateral testicle. If possible, sweep these structures out of the way
- If you feel unable to isolate the above structures from the abscess site, it may be safest to consult urology
- Antibiotics rarely needed (unless signs of cellulitis, systemic involvement and/or immunosuppressed)
- Intrascrotal organ involvement
- Urology consult