[P-131]
scrotal abscess secondary to psoas muscle abscess
Yusuf Kadir Topçu, Salih Polat, Serkan Yarımoğlu, İbrahim Küçüktürkmen, Anıl Eker, İsmail BasmacıAIM:
We aimed to present managemant seconder scrotal abscess due to retroperitoneal abscess after stab ingury flank
area.
METHODS:
19 year old male patient applied emergency service after stab ingury.vital findings were normally with 36,4
degress temperature, 70 / min pulse, 110/80 mm Hg blood pressure,15 / min respiratory rate. respiratory system
examination were normal. In physical examination, 2x2 cm incision scar was detected in left flank area. laborutary
findings were hgb 12,5, wbc 15,16, plt 182, kidney function test, liver function test and coagulation parameters
were in normal range. In urine analyse there were no eritrocit and lökocyte cells. There was retroperitoneal
hematom of size 47x31 mm axial and 112 mm craniocaudal nearby left psoas muscle in enchaned abdomen
tomography. In emergency service,vital findings and hemotocrit were stabil and patient was hospitalized in
general surgery service.in follow up,patients had 38,5 degress fewer, abscess and free air in retroperitoneal region
with left psoas muscle in new computed tomography.deep abscess drenage and peritoneal debridement was
performed by general surgeon.on scrotal surface,there was erythema and edema when patient was consulted
urology department.in physical examination of scrotum, there was fluactation on scrotal wall.with scrotal usg
,hyperdens liquid and air was detected in scrotum.in computed tomography,there was abscess from left kidney to
pelvis and scrotum spread through inguinal canal.scrotal eksploration was performed and necrotic tissue was
excised.patient was consulted to plastic surgery and graft was performed.
RESULTS:
Due to retroperioneal region have connection with scrotum, daily scrotal phsycal examination is important in
patients have retroperitoneal abscess in terms of development of Fournier's gangrene.
resim 1 skrotumda apse
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