Yu Kechi,Li Ning,Yin Ye,et al.Surgical procedures of acute suppurative scrotal infection in neonates[J].Journal of Clinical Pediatric Surgery,2025,(04):372-376.[doi:10.3760/cma.j.cn101785-202401069-013]
Surgical procedures of acute suppurative scrotal infection in neonates
- Keywords:
- Scrotum; Infections; Suppuration; Debridement; Neonate
- Abstract:
- Objective To summarize the clinical manifestations,diagnoses,surgical treatments of acute suppurative scrotal infection and avoid irreversible testicular injury in neonates.Methods From January 2016 to June 2023.The relevant clinical data were retrospectively reviewed for 14 neonates with acute suppurative scrotal infection.Results Age range was (12-28) day and body weight (3500-4600) gram.The involved side was left (n=7),right (n=5) and bilateral (n=2).The clinical manifestations included redness,swelling and tenderness of scrotum,crying and irritability.Both leucocyte count (n=7) and C-reactive protein (10.59±8.74) mg/L) became elevated.Typical color Doppler ultrasonography revealed scrotal wall and testicular edema,hydrocele and cord-like flocculent sediment in scrotum,testicular and epididymal spermatic cord swelling with rich blood flow.Time interval of an onset of scrotal infection and surgical exploration was <72 h (n=12) undergoing testicular exploration and scrotal drainage; >72 h (n=2) undergoing orchidectomy.The results of microorganism culture included Escherichia coli (n=13) and Pseudomonas aeruginosa (n=1).All of them recovered.Follow-up period was (6-24) month.Ultrasonography revealed compensatory enlargement of contralateral testis with unilateral loss of testis (n=2).Conclusions Emergency ultrasonography is essential for managing acute scrotal infection in neonates.Early operation should be performed timely to avoid testicular necrosis.
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Memo
收稿日期:2024-1-31。
基金项目:国家自然科学基金(81601265)
通讯作者:李宁,Email:lining207@foxmail.com