Point-of-Care Ultrasound Diagnosis of Pyocele: A Rare

J Emerg Med · Feb 2025

Case Reports

Point-of-Care Ultrasound Diagnosis of Pyocele: A Rare Complication of Testicular Infection.

Epididymo-orchitis is one of the common causes of acute scrotal pain that requires an accurate diagnosis as delayed management can result in complications such as pyocele, abscess, or testicular infarction. Point-of-care ultrasound (PoCUS) has emerged as a valuable diagnostic tool in the management of testicular emergencies in the emergency department (ED) including testicular infections CASE REPORT: Here we report a case of an elderly man who presented to the ED with a complaint of right-sided testicular pain and swelling. ⋯ WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case underscores the important role of PoCUS in the timely and accurate diagnosis of pyocele. The prompt identification of pyocele enabled early referral to urology services, highlighting the significance of integrating PoCUS into the management of testicular emergencies in the ED.

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- Noman Ali, Alan Tan, and Jordan Chenkin.
- Sunnybrook Health Sciences Centre, Toronto, ON, Canada. Electronic address: noman.ali@aku.edu.
- J Emerg Med. 2025 Feb 1; 69: 586158-61.
AbstractEpididymo-orchitis is one of the common causes of acute scrotal pain that requires an accurate diagnosis as delayed management can result in complications such as pyocele, abscess, or testicular infarction. Point-of-care ultrasound (PoCUS) has emerged as a valuable diagnostic tool in the management of testicular emergencies in the emergency department (ED) including testicular infections CASE REPORT: Here we report a case of an elderly man who presented to the ED with a complaint of right-sided testicular pain and swelling. The diagnosis of pyocele was made using a PoCUS, facilitating an early referral to urology services. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case underscores the important role of PoCUS in the timely and accurate diagnosis of pyocele. The prompt identification of pyocele enabled early referral to urology services, highlighting the significance of integrating PoCUS into the management of testicular emergencies in the ED.Copyright © 2024 Elsevier Inc. All rights reserved.

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Point-of-Care Ultrasound Diagnosis of Pyocele: A Rare Complication of Testicular Infection.

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