July 2010

Abnormal scrotal wall

Clinical Info

Painful red swollen scrotum and fever

Ultrasound Images & Clips

Abnormal scrotal wall

There is a massively swollen scrotal wall with highly reflective structures causing acoustic shadowing
There is a massively swollen scrotal wall with highly reflective structures causing acoustic shadowing
Another image of the swollen scrotal wall with highly reflective structures causing acoustic shadowing, that is caused by the presence of air in the scrotal wall.
Another image of the swollen scrotal wall with highly reflective structures causing acoustic shadowing, that is caused by the presence of air in the scrotal wall.
Detail of another part of the scrotal wall showing massive edema
Detail of another part of the scrotal wall showing massive edema
The scrotal wall shows increased vascularity
The scrotal wall shows increased vascularity
There is also increased vascularity around the air in the scrotal wall
There is also increased vascularity around the air in the scrotal wall
Longitudinal image of the left testis.
The testis and peritesicular structures are normal
Longitudinal image of the left testis. The testis and peritesicular structures are normal
Transverse image of both normal testicles
Transverse image of both normal testicles
Axial CT scan image of the scrotal wall showing air in the wall
Axial CT scan image of the scrotal wall showing air in the wall
Coronal CT scan image of the scrotal wall showing air in the wall
Coronal CT scan image of the scrotal wall showing air in the wall

Conclusion

Fournier's gangrene is a type of necrotizing infection or gangrene usually affecting the perineum.
It was first described by Baurienne in 1764 and is named after a French venereologist, Jean-Alfred Fournier following five cases he presented in clinical lectures in 1883
Most cases are caused by an infection with both aerobic and anaerobic bacteria.
The presence of air in the soft tissues of the scrotal wall is one of the characteristics of Fournier's gangrene.
In this case the treatment was a wide surgical drainage procedure and treatment with antibiotics. The patient responded well to this treatment.
Fournier's gangrene is an urological emergency that when it is untreated can lead to sepsis and eventually death


Details

  • Sex: Male
  • Age: 046

Created with

  • Hitachi Ultrasound System