Scrotal cellulitis

Case contributed by Dr Chris O'Donnell

Presentation

Painful bilateral swelling and redness of the scrotum. Feels unwell. Non-diabetic.

Patient Data

Age: 30
Gender: Male
Ultrasound

Gross edematous swelling and increased blood flow in the scrotum overlying both testes with extension into the groins. Underlying testes show minor reactive hyperemia but there is no hydrocoele. No obvious gas in the soft tissues to indicate necrotizing fasciitis. No focal fluid collection to indicate abscess formation.

Case Discussion

Cellulitis of the scrotum is uncommon but clinically significant as it can progress to necrotizing fasciitis (Fournier) especially in the immunosuppressed or diabetics.

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Case information

rID: 33755
Published: 22nd Jan 2015
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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