A 85-year old man had a few days' history of low-grade fever (37.8°C) and a painful lump in the left scrotum. Serum CRP was 70 mg/l. The skin over the lump was reddish, and palpation suggested a fluid collection. At ultrasonography a round fluid collection with some echoes was observed, with no signs suggesting intestinal structures. There were no signs of hernia in the proximal scrotum or inguinal region. Aspiration after local anaesthesia yielded 15 ml of pus. The patient received a course of cephalexin. A repeat aspiration on the next day yielded 7 ml of pus. After this the healing was rapid. Escherichia coli grew in bacterial culture.
Aspiration of scrotal abscess