AI Article Synopsis
- A neonate was diagnosed with idiopathic infantile pyocele, identified through scrotal sonography showing a complex fluid collection in the left scrotal sac.
- The imaging revealed features such as septations, thickened scrotal walls, and moderate echogenicity, which suggested possible missed testicular torsion.
- However, surgery confirmed a pyocele without an identifiable source, highlighting the need for radiologists to recognize how pyocele can resemble missed testicular torsion on Doppler sonography.
Article Abstract
We present the case of a neonate with idiopathic infantile pyocele. Scrotal sonography revealed a complex fluid collection within the left scrotal sac containing septations and a fluid-fluid level. The dependent region of the collection had moderate echogenicity, the slightly hypoechoic testis was not well defined, and the scrotal wall was thickened. Color Doppler sonography revealed mild hypervascularity in the thickened scrotal wall but no vascularity inside the testis. The sonographic findings suggested missed testicular torsion, but surgery revealed a pyocele, for which no source was identified. Radiologists should be aware that idiopathic infantile pyocele can mimic the Doppler sonographic findings in missed testicular torsion.
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| http://dx.doi.org/10.1002/jcu.10135 | DOI Listing |
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