• Kate H Kraft, Sarah M Lambert, Howard M Snyder, and Douglas A Canning.
• Division of Urology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399, USA.
• J Pediatr Urol. 2012 Oct 1; 8 (5): 504-8.

AbstractPyocele of the scrotum has been reported but is not well described in the pediatric population. The majority of published cases have been treated definitively with surgical drainage, and the severity of some cases has led to orchiectomy. We report a cases series of four boys with idiopathic pyocele, two of whom were managed successfully without operative intervention. Of these, one case was likely due to hematogenous spread of infection, and one case was secondary to spread of abdominal contamination via a patent processus vaginalis. To our knowledge, this is the first case series reporting non-surgical management of infant pyocele. Although rare, this clinical entity should be considered in the differential diagnosis of acute scrotum in the pediatric patient.Copyright © 2011 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

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