A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula.

Autor:	Toge T; Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan., Takekawa K; Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan., Okamoto K; Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan., Ueno H; Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan., Shinmoto H; Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan., Ito K; Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Jazyk:	angličtina
Zdroj:	Urology case reports [Urol Case Rep] 2023 Oct 20; Vol. 51, pp. 102596. Date of Electronic Publication: 2023 Oct 20 (Print Publication: 2023).
DOI:	10.1016/j.eucr.2023.102596
Abstrakt:	A 54-year-old male patient presented with pneumaturia. Right scrotal swelling was observed. CT showed an intrascrotal abscess with gas formation. MRI showed a fistula extending from the sigmoid colon to the seminal vesicles. Since there are many diverticula in the sigmoid colon, an abscess caused by diverticulitis may have formed a fistula. The scrotal abscess was drained; however, the pus discharge did not decrease. A colostomy was then performed, and the scrotal infection rapidly improved. Sigmoidectomy and fistula transection were performed 11 months after the colostomy. Prompt diagnosis of a sigmoid coloseminal fistula using imaging has led to optimal treatment. Competing Interests: The authors declare no conflict of interest. (© 2023 The Authors. Published by Elsevier Inc.)
Databáze:	MEDLINE
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