A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula

Takuya Toge; Kazuki Takekawa; Koichi Okamoto; Hideki Ueno; Hiroshi Shinmoto; Keiichi Ito

doi:10.1016/j.eucr.2023.102596

A case of emphysematous intrascrotal abscess secondary to sigmoid coloseminal fistula

Urol Case Rep. 2023 Oct 20:51:102596. doi: 10.1016/j.eucr.2023.102596. eCollection 2023 Nov.

Authors

Takuya Toge¹, Kazuki Takekawa¹, Koichi Okamoto², Hideki Ueno², Hiroshi Shinmoto³, Keiichi Ito¹

Affiliations

¹ Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
² Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
³ Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.

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.

Keywords: Colostomy; Drainage; Emphysematous scrotal abscess; Sigmoid coloseminal fistula; Sigmoidectomy.

Publication types

Case Reports