Scrotal abscess

Background

• Must differentiate scrotal wall abscess versus intrascrotal organ involvement

Differential Diagnosis

Testicular Diagnoses

• Scrotal cellulitis
• Epididymitis
• Fournier gangrene
• Hematocele
• Hydrocele
  • Hydrocele (peds)
• 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

Diagnosis

• Ultrasound

Management

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

See Also

• Testicular Diagnoses

Source

Tintinalli