Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male

A 46-year-old Caucasian male has been transferred to our urology department with a history of septic fever, uncompensated diabetes, pain, and scrotal swelling. On clinical examination, the left inguinal and scrotal area was swollen, tender, and painful; scrotal MR had been performed, showing the cat...

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Main Authors: Marco Stizzo, Davide Arcaniolo, Carmelo Quattrone, Raffaele Balsamo, Marco Terribile, Celeste Manfredi, Vincenzo Mirone, Paolo Verze, Marco De Sio
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2017/9820245
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author Marco Stizzo
Davide Arcaniolo
Carmelo Quattrone
Raffaele Balsamo
Marco Terribile
Celeste Manfredi
Vincenzo Mirone
Paolo Verze
Marco De Sio
author_facet Marco Stizzo
Davide Arcaniolo
Carmelo Quattrone
Raffaele Balsamo
Marco Terribile
Celeste Manfredi
Vincenzo Mirone
Paolo Verze
Marco De Sio
author_sort Marco Stizzo
collection DOAJ
description A 46-year-old Caucasian male has been transferred to our urology department with a history of septic fever, uncompensated diabetes, pain, and scrotal swelling. On clinical examination, the left inguinal and scrotal area was swollen, tender, and painful; scrotal MR had been performed, showing the catheter tip in scrotal cavity and presence of gas. The case was diagnosed as scrotal abscess with urethroscrotal fistula. He was successfully treated with scrotal incision, drainage, catheter repositioning under fluoroscopic control, antibiotics, and insulin. This patient developed an infection of scrotum, which led to subcutaneous abscess getting worse by a poorly controlled glycemia. In this case, an iatrogenic fistula, caused by wrong catheterization, stops the evolving to a Fournier’s Gangrene. Early detection and intervention provide opportunities to improve outcome of this disease.
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id doaj-art-e4381b50a2164032aec368aafec36005
institution OA Journals
issn 2090-696X
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language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Urology
spelling doaj-art-e4381b50a2164032aec368aafec360052025-08-20T02:21:34ZengWileyCase Reports in Urology2090-696X2090-69782017-01-01201710.1155/2017/98202459820245Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic MaleMarco Stizzo0Davide Arcaniolo1Carmelo Quattrone2Raffaele Balsamo3Marco Terribile4Celeste Manfredi5Vincenzo Mirone6Paolo Verze7Marco De Sio8Urology Unit, University of Campania “Luigi Vanvitelli”, Naples, ItalyUrology Unit, University of Campania “Luigi Vanvitelli”, Naples, ItalyUrology Unit, University of Campania “Luigi Vanvitelli”, Naples, ItalyUrology Unit, University of Campania “Luigi Vanvitelli”, Naples, ItalyUrology Unit, University of Campania “Luigi Vanvitelli”, Naples, ItalyUrology Unit, University of Campania “Luigi Vanvitelli”, Naples, ItalyUrology Unit, Department of Neurosciences, Sciences of Reproduction and Odontostomatology, University of Naples “Federico II”, Naples, ItalyUrology Unit, Department of Neurosciences, Sciences of Reproduction and Odontostomatology, University of Naples “Federico II”, Naples, ItalyUrology Unit, University of Campania “Luigi Vanvitelli”, Naples, ItalyA 46-year-old Caucasian male has been transferred to our urology department with a history of septic fever, uncompensated diabetes, pain, and scrotal swelling. On clinical examination, the left inguinal and scrotal area was swollen, tender, and painful; scrotal MR had been performed, showing the catheter tip in scrotal cavity and presence of gas. The case was diagnosed as scrotal abscess with urethroscrotal fistula. He was successfully treated with scrotal incision, drainage, catheter repositioning under fluoroscopic control, antibiotics, and insulin. This patient developed an infection of scrotum, which led to subcutaneous abscess getting worse by a poorly controlled glycemia. In this case, an iatrogenic fistula, caused by wrong catheterization, stops the evolving to a Fournier’s Gangrene. Early detection and intervention provide opportunities to improve outcome of this disease.http://dx.doi.org/10.1155/2017/9820245
spellingShingle Marco Stizzo
Davide Arcaniolo
Carmelo Quattrone
Raffaele Balsamo
Marco Terribile
Celeste Manfredi
Vincenzo Mirone
Paolo Verze
Marco De Sio
Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male
Case Reports in Urology
title Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male
title_full Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male
title_fullStr Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male
title_full_unstemmed Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male
title_short Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male
title_sort scrotal abscess drained by iatrogenic urethral fistula in an adult diabetic male
url http://dx.doi.org/10.1155/2017/9820245
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