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Testicular Diseases and Treatments · Journal article
International Journal of Medical and Pharmaceutical Case Reports · September 2, 2026
Early or partial results. Treat as a signal, not a conclusion.
This is a case report of scrotal pyocele in a 69-year-old male presenting with scrotal swelling, pain, and fever, diagnosed by ultrasonography and managed with antimicrobial therapy and supportive care. It documents clinical and imaging features of an uncommon condition but provides no evidence of treatment efficacy, outcome, or generalisable guidance.
Case report. 69-year-old male with history of hypertension, coronary artery disease, hypothyroidism, and bronchial asthma presenting with progressive scrotal swelling, scrotal pain, and fever. Intervention: Empirical antimicrobial therapy, analgesic and supportive treatment; drainage and surgical procedures discussed as management options.
Patient presented with progressive scrotal swelling, scrotal pain, and fever White blood cell count elevated at 23,200/cu. mm and platelet count at 575,000/cu. mm Left scrotal fluid collection measured approximately 6.0 × 6.5 cm with compression of left testis
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This case illustrates that scrotal pyocele should be considered in the differential diagnosis of scrotal swelling with fever and elevated inflammatory markers. Ultrasonography is useful for diagnosis and assessing testicular compression, but the report does not provide evidence for optimal management strategy or outcome.
A single case report of an uncommon condition with descriptive clinical and imaging findings, lacking comparative data, outcome metrics, or generalizable evidence.
As stated by the source record.
Quoted from the source exactly as published.
This case illustrates that scrotal pyocele should be considered in the differential diagnosis of scrotal swelling with fever and elevated inflammatory markers. Ultrasonography is useful for diagnosis and assessing testicular compression, but the report does not provide evidence for optimal management strategy or outcome.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Scrotal pyocele is an uncommon urological condition characterised by a purulent collection within the scrotal sac and may be associated with inflammatory conditions of the epididymis or testis. This case report describes a 69-year-old male who presented with progressive scrotal swelling, scrotal pain, and fever. The patient had a history of hypertension, coronary artery disease, hypothyroidism, and bronchial asthma. Haematological investigations showed an elevated white blood cell count of 23,200/cu. mm and platelet count of 575,000/cu. mm, while urine examination showed a turbid appearance with increased pus/WBC cells, RBCs, and epithelial cells. Scrotal ultrasonography demonstrated normal testicular size and echotexture without focal lesions, but revealed a gross left scrotal fluid collection with internal echoes. The encysted collection measured approximately 6.0 × 6.5 cm and compressed the left testis; minimal free fluid was also present in the right scrotal sac. The therapeutic approach included empirical antimicrobial therapy, analgesic and supportive treatment, while drainage and surgical procedures were discussed as management options. The case highlights the diagnostic value of ultrasonography in identifying an encysted purulent scrotal collection and assessing testicular compression. Timely recognition and appropriate multidisciplinary management are important because scrotal pyocele may be associated with severe infectious complications and possible testicular compromise.
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