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Genitourinary
Diagnosis
Scrotum
Pyocele
Pyocele
Bryan R. Foster, MD; R. Brooke Jeffrey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Scrotal abscess, complication of epididymo-orchitis

            IMAGING

            • General Features

              • Imaging Recommendations

                • Ultrasonographic Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Martin CD et al: More than just torsion: an unusual case of testicular pain. Mil Med. 8;185(5-6):e900-3, 2020
                                    2. Rebik K et al: Scrotal ultrasound. Radiol Clin North Am. 57(3):635-48, 2019
                                    3. McAdams CR et al: The utility of scrotal ultrasonography in the emergent setting: beyond epididymitis versus torsion. Emerg Radiol. 25(4):341-8, 2018
                                    4. Kühn AL et al: Ultrasonography of the scrotum in adults. Ultrasonography. 35(3):180-97, 2016
                                    5. Avery LL et al: Imaging of penile and scrotal emergencies. Radiographics. 33(3):721-40, 2013
                                    6. Pilatz A et al: Acute epididymitis in ultrasound: results of a prospective study with baseline and follow-up investigations in 134 patients. Eur J Radiol. 82(12):e762-8, 2013
                                    7. Aganovic L et al: Imaging of the scrotum. Radiol Clin North Am. 50(6):1145-65, 2012
                                    8. Yagil Y et al: Role of Doppler ultrasonography in the triage of acute scrotum in the emergency department. J Ultrasound Med. 29(1):11-21, 2010
                                    9. Schalamon J et al: Management of acute scrotum in children--the impact of Doppler ultrasound. J Pediatr Surg. 41(8):1377-80, 2006
                                    10. Lim GY et al: Infantile scrotal pyocele simulating missed testicular torsion on sonography. J Clin Ultrasound. 31(2):116-8, 2003
                                    11. Santucci RA et al: Pyocele of the scrotum: a consequence of spontaneous bacterial peritonitis. J Urol. 153(3 Pt 1):745-7, 1995
                                    12. Slavis SA et al: Pyocele of scrotum: consequence of spontaneous rupture of testicular abscess. Urology. 33(4):313-6, 1989
                                    13. Di Donna A et al: Pyocele of the scrotum: sonographic demonstration of fluid-fluid level and a gas-forming component. J Ultrasound Med. 5(2):99-100, 1986
                                    14. Kutin ND et al: Idiopathic infant pyoceles. J Pediatr Surg. 21(5):441-2, 1986
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Definitions

                                                • Scrotal abscess, complication of epididymo-orchitis

                                              IMAGING

                                              • General Features

                                                • Imaging Recommendations

                                                  • Ultrasonographic Findings

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          • Microscopic Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Martin CD et al: More than just torsion: an unusual case of testicular pain. Mil Med. 8;185(5-6):e900-3, 2020
                                                                      2. Rebik K et al: Scrotal ultrasound. Radiol Clin North Am. 57(3):635-48, 2019
                                                                      3. McAdams CR et al: The utility of scrotal ultrasonography in the emergent setting: beyond epididymitis versus torsion. Emerg Radiol. 25(4):341-8, 2018
                                                                      4. Kühn AL et al: Ultrasonography of the scrotum in adults. Ultrasonography. 35(3):180-97, 2016
                                                                      5. Avery LL et al: Imaging of penile and scrotal emergencies. Radiographics. 33(3):721-40, 2013
                                                                      6. Pilatz A et al: Acute epididymitis in ultrasound: results of a prospective study with baseline and follow-up investigations in 134 patients. Eur J Radiol. 82(12):e762-8, 2013
                                                                      7. Aganovic L et al: Imaging of the scrotum. Radiol Clin North Am. 50(6):1145-65, 2012
                                                                      8. Yagil Y et al: Role of Doppler ultrasonography in the triage of acute scrotum in the emergency department. J Ultrasound Med. 29(1):11-21, 2010
                                                                      9. Schalamon J et al: Management of acute scrotum in children--the impact of Doppler ultrasound. J Pediatr Surg. 41(8):1377-80, 2006
                                                                      10. Lim GY et al: Infantile scrotal pyocele simulating missed testicular torsion on sonography. J Clin Ultrasound. 31(2):116-8, 2003
                                                                      11. Santucci RA et al: Pyocele of the scrotum: a consequence of spontaneous bacterial peritonitis. J Urol. 153(3 Pt 1):745-7, 1995
                                                                      12. Slavis SA et al: Pyocele of scrotum: consequence of spontaneous rupture of testicular abscess. Urology. 33(4):313-6, 1989
                                                                      13. Di Donna A et al: Pyocele of the scrotum: sonographic demonstration of fluid-fluid level and a gas-forming component. J Ultrasound Med. 5(2):99-100, 1986
                                                                      14. Kutin ND et al: Idiopathic infant pyoceles. J Pediatr Surg. 21(5):441-2, 1986