Email this article 
Post a Comment CLINICOECHOGRAPHIC CHARACTERISTIC OF TESTICLE ABSCESS
- Authors: Prokhorov AV1
-
Affiliations:
- Городская больница № 57
- Issue: Vol 33, No 2 (2016)
- Pages: 50-61
- Section: Articles
- URL: https://journals.rcsi.science/PMJ/article/view/3083
- DOI: https://doi.org/10.17816/pmj33250-61
- ID: 3083
Cite item
Full Text
Abstract
Aim. The aim of the study was to investigate the peculiar features of clinicoechographic picture of the testicle abscess. Materials and methods. The work is based on retrospective analysis of 10 testicle abscess cases observed over the period of 2005-2015. Standard clinicolaboratory studies and high resolution ultrasonography were applied. Results. Among acute inflammatory diseases of the testicle and appendage, the incidence of testicle abscess was 1 %. In 4/5 of cases, testicle abscess occurred as a complication of acute epididymoorchitis among patients over fifty with burdened immunodeficient background and different inflammatory urogenital diseases. According to ultrasonography data, testicle abscess at its acute stage was detected in 1 patient, subacute - in 2, chronic - in 7. The testicle abscess sizes were 28,4 (12-65) mm or 2,6 (1,3-5,5) cm3. Abscess occupied one segment of the testicle in 1 patient, two segments - in 5, total purulent melting of the testicle - in 4. By their acoustic signs, testicle abscess did not differ from those of the other localization. In its clinical course, testicle abscess at the acute and subacute stages was manifested as acute inflammatory disease of the testicle or appendage, at the chronic stage - as abscess and scrotal purulent fistula. As a result of clinicolaboratory study, testicle abscess was supposed in 4 patients, as a result of ultrasound study - testicle abscess was diagnosed in all patients. Pathomorphological study performed in 8 patients following orchiectomy indicated verification of testicle abscess in all of them. At the same time, in 1 case abscess was combined with testicle cancer, not revealed during the preoperative examination. Conclusions. Patients with acute inflammatory testicle and appendage diseases burdened by immunodeficient background (age over 50) have an increased risk for the development of testicle abscess and should be taken under a strict dynamic clinicolaboratory and echographic control in the course of mana-gement.
Full Text
##article.viewOnOriginalSite##About the authors
A V Prokhorov
Городская больница № 57
Email: info@gkub47.mosgorzdrav.ru
кандидат медицинских наук, заведующий отделением ультразвуковой диагностики
References
- Прохоров А.В. Диагностическое значение допплерографического симптома «пылающего кольца» при абсцессах органов мочеполовой системы. Диагностическая и интервенционная радиология: материалы V всероссийского конгресса лучевых диагностов и терапевтов «Радиология-2011». 2011; 5 (приложение 2): 332.
- Прохоров А.В. Клинико-эхографи-ческие критерии зрелости абсцессов почек, предстательной железы и органов мошонки. Диагностическая и интервенционная радиология: материалы V всероссийского конгресса лучевых диагностов и терапевтов «Радиология-2011». 2011; 5 (приложение 2): 330-331.
- Прохоров А.В. Сложности дифференциальной диагностики абсцессов почек, предстательной железы и мошонки и ее органов. Диагностическая и интервенционная радиология: материалы V всероссийского конгресса лучевых диагностов и терапевтов «Радиология-2011». 2011; 5 (приложение 2): 333-334.
- Фадеев В.В. Представление данных в оригинальных работах и их статистическая обработка. Проблемы эндокринологии 2002; 48 (3): 47-48.
- Avery L.L., Scheinfeld M.H. Imaging of penile and scrotal emergencies. RadioGraphics 2013; 33 (3): 721-740.
- Banura O., Shulyak A. Acute epididymoorchitis: staging and treatment. Central Eur J of Urol 2012; 65 (3): 139-143.
- Basu S., Suri S., Kumar A. Scrotal abscess owing to Candida albicans in a newborn. Paediatr Int Child Health 2013; 33 (1): 53-55.
- Biswas S., Basu G. Causes & manage-ment of testicular abscess: findings of a study on eleven patients. J of Dental and Med Sciences (IOSR-JDMS) 2013; 9 (1): 26-30.
- Dubepur R., Gupta A.K., Gupta A., Gupta A.K. An uncommon presentation of testicular abscess: a case report. Sch J Med Case Rep 2014; 2: 597-598.
- Lopez-Fontana G., Lopez-Fontana R., Valdemoros P. Non palpable testicular tumors. Retrospective series. Prog Urol 2014; 24 (1): 46-50.
- Parenti G.C., Feletti F., Brandini F. Imaging of the scrotum: role of MRI. Radiol Med 2009; 114 (3): 414-424.
- Sharma V., Masson P., Choy J.T. Outcomes of inpatient testicular abscesses complicating epididymitis and orchitis among hospitalized patients. J of Urol 2013; 189 (4): E476.
- Suhani A., Choudhari V., Thomas S. Case report: testicular abscess: an uncommon complication of a common entity. Frontiers in Clin Med 2014; 1 (1): 12-13.
- Tsuchiyama K., Iwasaki H., Fuse H., Imamura Y. A case of testicular abscess with low-grade inflammation. Hinyokika Kiyo 2013; 59 (7): 461-464.
- Yusuf G., Sellars M.E., Kooiman G.G. Global testicular infarction in the presence of epididymitis: clinical features, appearances on grayscale, color Doppler, and contrast-enhanced sonography, and histologic correlation. J Ultrasound Med 2013; 32 (1): 175-180.
- Zaid U.B., Bagga H.S., Reese A.C., Breyer B.N. Intratesticular abscess in a solitary testicle: the case for testicle sparing management. Case Reports in Medicine. 2013: 184064. doi: 10.1155/2013/184064.
Supplementary files
