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Yuan Y, Meng L, Wang R, Zhang Z, Yang J, Zhang X, Xu J, Meng Y, Zhang W, Liu C. Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literature. Radiol Case Rep 2023; 18:1796-1808. [PMID: 36915609 PMCID: PMC10006720 DOI: 10.1016/j.radcr.2023.01.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Revised: 01/25/2023] [Accepted: 01/28/2023] [Indexed: 03/06/2023] Open
Abstract
A subcutaneous abscess of the penis is a rare condition. It can be idiopathic or have an underlying cause, such as intracavernous injection therapy, foreign body, dilated perineal abscess, abnormal erection, or trauma. Clinical signs are mainly swelling in the penis, penile pain, and swelling. Conventional treatment is primarily surgical incision and drainage, followed by systemic antibiotic therapy. In recent years, with the development of medical technology, minimally invasive interventions and less invasive techniques, such as ultrasound-guided aspiration, are being developed. This article aims to report a case of ultrasound-guided successful diagnosis and treatment of an aseptic idiopathic subcutaneous abscess at the root of the penis and to review the literature on penile abscesses. The patient, a 61-year-old male, underwent ultrasound-guided puncture and drainage using a coaxial aspiration/flushing technique in combination with antibiotics to treat this rare urinary tract condition. The patient recovered well postoperatively and was discharged 3 days later. At a 2-week postoperative follow-up, an ultrasound showed a marked reduction in the penile abscess mass.
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Affiliation(s)
- Yinuo Yuan
- Shandong First Medical University, Jinan, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Lei Meng
- School of Medical Imaging, Weifang Medical College, Weifang, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Ruixian Wang
- Shandong First Medical University, Jinan, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Zhiyang Zhang
- Shandong First Medical University, Jinan, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Jihua Yang
- Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Xiaolong Zhang
- Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Jianglei Xu
- Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Yao Meng
- Shandong First Medical University, Jinan, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Wenjing Zhang
- School of Medical Imaging, Weifang Medical College, Weifang, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Cun Liu
- Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
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Jakobsen JK, Szumniak J, Stilling C, Fledelius J, Bouchelouche K. FDG PET/CT in a Patient With Syphilis Suspected of Having Penile Cancer. Clin Nucl Med 2022; 47:e621-e623. [PMID: 35930717 DOI: 10.1097/rlu.0000000000004170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT A 58-year-old man with large penile wound and enlarged regional lymph node was suspected of having disseminated penile cancer. FDG PET/CT for primary staging showed high FDG uptake on penis and in several enlarged lymph nodes. However, biopsies revealed no signs of malignancy, but ulceration, inflammation, fibrosis, and spirochetes. Furthermore, Wassermann test was positive. The patient was then treated for syphilis. To our knowledge, this is the first report on FDG PET/CT in a patient suspected of having penile cancer that turned out to be syphilis. Thus, syphilis can be added to the list of benign pitfalls in FDG PET/CT.
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Affiliation(s)
| | - Joanna Szumniak
- Department of Dermatology and Venereology, Aalborg University Hospital, Aalborg
| | | | - Joan Fledelius
- Nuclear Medicine and PET Centre, Aarhus University Hospital, Aarhus, Denmark
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