Scrotal abscess
Background
- Must differentiate scrotal wall abscess versus intrascrotal organ involvement
Differential Diagnosis
Skin and Soft Tissue Infection
- Cellulitis
- Erysipelas
- Lymphangitis
- Folliculitis
- Abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Evaluation
- Ultrasound
Management
- Simple hair follicle scrotal wall abscess
- I+D
- Be sure to palpate for the spermatic cord, urethra, and ipsilateral testicle. If possible, sweep these structures out of the way
- If you feel unable to isolate the above structures from the abscess site, it may be safest to consult urology
- Antibiotics rarely needed (unless signs of cellulitis, systemic involvement and/or immunosuppressed)
- Intrascrotal organ involvement
- Urology consult
References
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