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

乙状结肠瘘继发气肿性腹内脓肿 1 例。

• 发表时间: 2023 Nov
• 来源期刊: Urol Case Rep
• DOI: 10.1016/j.eucr.2023.102596
• PMID: 37954551
• 文章类型: Case Reports
• 作者列表: Toge T,Takekawa K,Okamoto K,Ueno H,Shinmoto H,Ito K

关键词: Colostomy; Drainage; Emphysematous scrotal abscess; Sigmoid coloseminal fistula; Sigmoidectomy

Abstract

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.

摘要

一名54岁的男性患者出现气尿。右侧阴囊肿胀。CT显示腹内脓肿伴气体形成。MRI显示瘘管从乙状结肠延伸到精囊。由于乙状结肠中有许多憩室，憩室炎引起的脓肿可能已形成瘘管。阴囊脓肿被引流；然而，脓液没有减少。然后做了结肠造口术,阴囊感染迅速好转。结肠造口术后11个月进行乙状结肠切除术和瘘管横切术。使用影像学迅速诊断乙状结肠瘘已导致最佳治疗。