1/28. Seminal vesicle abscess due to tuberculosis: role of tissue culture in making the diagnosis.abscess formation involving the seminal vesicle occurs rarely. We report a case of seminal vesicle abscess due to tuberculosis. urine and fluid cultures and histologic examination of the prostate were negative for mycobacteria. The cause of the abscess was confirmed only after tissue cultures were done.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
2/28. A diabetic patient with scrotal subcutaneous abscess.A 51-year-old type 2 diabetic patient with a scrotal subcutaneous abscess is reported. He was diagnosed as having diabetes mellitus five years earlier. He had left scrotal swelling and pain with granulocytosis, elevated c-reactive protein and hyperglycemia. He was successfully treated with incision and drainage (streptococcus agalactiae was identified in the pus), debridement, antibiotics, immunoglobulin and insulin. This case resembled Fournier's gangrene, an infective necrotizing fasciitis of the perineal, genital or perianal regions. diabetes mellitus is a basic disorder often associated with Fournier's gangrene. Scrotal subcutaneous abscess should be prevented from progressing to Fournier's gangrene with early and appropriate treatment.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
3/28. Acute appendicitis presenting with a testicular mass: ultrasound appearances.Acute appendicitis presenting with scrotal symptoms is a rare event, occurring when a patent processus vaginalis persists. We present a case where ultrasound demonstrated an inflamed appendix and a scrotal abscess, allowing the correct surgical management in a difficult clinical situation. In a child presenting with scrotal signs and vague lower abdominal symptoms, an ultrasound assessment of the right iliac fossa should always be performed.- - - - - - - - - - ranking = 0.16666666666667keywords = abscess (Clic here for more details about this article) |
4/28. Timing of surgery for enterovesical fistula in Crohn's disease: decision analysis using a time-dependent compartment model.OBJECTIVES: Previous decision analyses of inflam matory bowel diseases (IBD) have used decision trees and markov chains. Occasionally IBD patients present with medical problems that are difficult or even impossible to phrase in terms of such established decision tools. This article aims to introduce modeling by a time-dependent compartment mode and demonstrate its feasibility for decision analysis in IBD methods: A Crohn's disease patient presented with a pelvic abscess and an enterovesical fistula. Being hesitant to operate in an acutely inflamed area, the surgeon recommended that the patient continue antibiotic therapy until the abscess had re solved. The gastroenterologist argued that the patient had already been treated with antibiotics for a prolonged time period and expressed concern that the patient's overall diminished health status would deteriorate by further delay of surgery. The occurrence of fistula, abscess, urinary tract infection, antibiotic therapy, surgical operation, and health-related quality of life were modeled as separate compartments, with time-dependent relationships among them. The simulation was carried out on an Excel spreadsheet. RESULTS: In the model, the surgeon's predictions were associated with rapid resolution of the pelvic abscess under antibiotic therapy and improvement of the patient's health status. The gastroenterologist's predictions resulted in a smaller decline in abscess size and further deterioration of the patient's health while waiting for a definitive treatment. The disagreement between surgery and gastroenterology arose from predicting different time courses for the individual disease events, in essence, from assigning different time constants to the time-dependent influences of the disease model. CONCLUSIONS: The compartment model provides a simple and generally applicable method to assess time dependent-changes of a complex disease. The present analysis also serves to illustrate the usefulness of such models in simulating disease behavior.- - - - - - - - - - ranking = 0.83333333333333keywords = abscess (Clic here for more details about this article) |
5/28. Scrotal abscess following appendectomy.Postoperative infectious complications in children following perforated appendicitis present in diverse ways. We present two unusual complications of appendectomy for perforated appendicitis: an acute scrotum after open and laparoscopic appendectomy. A retrospective review of two cases of scrotal abscess following appendectomy at our hospital as well as a medline search was performed to review the clinical presentation, etiology, type of treatment, and outcome of these patients. Although scrotal inflammation occurring postoperatively in a patient with perforated appendicitis may be due to an incarcerated hernia, it is much more likely to be due to a scrotal abscess. patients without a patent processus vaginalis or inguinal hernia at initial presentation of peritonitis must be carefully followed in the postoperative period and explored early if testicular or scrotal pain becomes manifest.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
6/28. Scrotal abscess originating from appendicitis: a case report.There are numerous reports concerning the presentation of appendicitis as a urologic problem. However, scrotal abscess originating from appendicitis has rarely been described. We report a right scrotal abscess due to a preceding retroperitoneal abscess originating from retrocecal appendicitis. The scrotal abscess developed progressively following appendectomy. Scrotal exploration was carried out under the presumptive diagnosis of abscessed epididymo-orchitis. However, the patient remained febrile and had productive pus drained from the scrotum after exploration. Abdominal computerized tomography demonstrated that a large retroperitoneal abscess had accumulated at the appendectomy site. Percutaneous drainage of the retroperitoneal abscess resulted in resolution of the scrotal abscess. In cases of scrotal abscess following previous abdominal events (e.g. appendectomy), we recommend that abdominal origins should be carefully surveyed before scrotal exploration.- - - - - - - - - - ranking = 2.1666666666667keywords = abscess (Clic here for more details about this article) |
7/28. Syphilitic scrotal abscess: the great mimic returns.We present an unusual case of a scrotal abscess. The patient's previous history of syphilis highlights the need for a thorough sexual history especially in light of the current increasing incidence of syphilis in the UK.- - - - - - - - - - ranking = 0.83333333333333keywords = abscess (Clic here for more details about this article) |
8/28. Recurrent transitional cell carcinoma in a scrotal abscess.We discuss a case of recurrent transitional cell carcinoma to the scrotum 5 years after cystectomy, along with its postoperative management and implications.- - - - - - - - - - ranking = 0.66666666666667keywords = abscess (Clic here for more details about this article) |
9/28. Hyperacute unilateral gonococcal endophthalmitis in an hiv-infected man without genital infection.PURPOSE: To demonstrate the necessity of obtaining an accurate history from patients presenting abnormal evolution of ophthalmologic diseases. methods: A 42-year-old patient, denying any previous ocular or systemic morbidity, presented with an unusual severe and hyperacute gonococcal endophthalmitis with corneal abscess but no concurrent genitourinary infection. Only after a further interview did the patient reveal his human immunodeficiency virus status and a previous diagnosis of acquired immunodeficiency syndrome. RESULTS: Adequate topical and intravenous antibiotic treatment and surgery led to salvage of the eye. CONCLUSIONS: An accurate history should be obtained by patients with an abnormal course of an ophthalmologic disease, focusing on immunologic deficiencies that can cause extremely serious ophthalmologic complications with ensuing risk of visual impairment or ocular loss (bulbar enucleation).- - - - - - - - - - ranking = 0.16666666666667keywords = abscess (Clic here for more details about this article) |
10/28. Seminal vesicle cyst forming an abscess and fistula with the rectum review of perianal drainage and treatment.The clinical presentation and treatment modalities of seminal vesical abscesses are not well documented. The first case of a seminal vesicle cyst which formed an abscess after transrectal aspiration with subsequent formation of a fistula with the rectum is reported herein. The abscess was drained perianally, an approach that has not previously been reported. A brief comparison of the reported treatment modalities is also provided.- - - - - - - - - - ranking = 1.1666666666667keywords = abscess (Clic here for more details about this article) |
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