Corpus cavernosum abscess from a blind-ending urethra after urinary diversion surgery

BMJ Case Rep. 2013 Apr 23:2013:bcr2013009471. doi: 10.1136/bcr-2013-009471.

Abstract

Corpus cavernosum abscesses are rarely seen in the clinical setting. We report the case of an early diagnosis of corpus cavernosum abscess due to a blind-ending urethra in a 60-year-old man without known risk factors and who was successfully treated by antibiotic therapy alone. In this case, the blind-ending urethra after urinary diversion surgery was considered a risk factor of the abscess formation. If the physician notes that the patient has fever of uncertain cause after urinary diversion surgery, he/she should examine the penis and perineum in consideration of the possibility of corpus cavernosum abscess.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnosis*
  • Abscess / drug therapy
  • Abscess / etiology*
  • Abscess / microbiology
  • Anti-Bacterial Agents / therapeutic use
  • Cefazolin / therapeutic use
  • Diagnosis, Differential
  • Escherichia coli Infections / diagnosis*
  • Escherichia coli Infections / drug therapy*
  • Humans
  • Male
  • Middle Aged
  • Penile Diseases / diagnosis*
  • Penile Diseases / drug therapy
  • Penile Diseases / etiology*
  • Penile Diseases / microbiology
  • Tomography, X-Ray Computed
  • Urinary Diversion / adverse effects*

Substances

  • Anti-Bacterial Agents
  • Cefazolin