Rare Complication of Catheter-Associated Urinary Tract Infection – Inguinal Canal Abscess: Diagnosis and Management

  • Aleksis Baumanis (Speaker)
  • Andrejs Leise (Co-author)
  • Edgars Baumanis (Co-author)
  • Lietuvietis, V. (Co-author)

Activity: Talk or presentation types › Poster presentation

Description

Inguinal canal abscesses not related to previous inguinal canal invasive manipulation are very rare. Their site of origin and routes of spread are rarely immediately identifiable. It is most common and difficult to differentiate from small bowel incarceration. A 66-year-old man was admitted to the emergency clinic in a generally serious condition with febrile temperature, severe pain in the right groin area. Patient has benign prostatic hyperplasia and has a urinary catheter for 6 months. Right-sided orchoepididymitis present for 2 months. Treatment with slight improvement, but worsening for 2 days. The patient has several comorbidities: diabetes, left leg stump after amputation, coronary heart disease. Elevated inflammatory markers and renal failure (GFR 24,82mL/min) were found. Urgently ultrasound (US) of the right inguinal and scrotal regions and computed tomography (CT) of the abdominal organs were performed. The US showed hydrocele and right inguinal hernia incarceration was suspected. The CT scan, non-contrast performed, showed a precise diagnosis of funiculitis and abscess extension to the retroperitoneal space till the seminal vesicle. Hypoechogenic changes in the prostate were clarified by transrectal ultrasound (TRUS). Two puncture aspirations were performed to cure a prostate abscess. Inguinal canal surgery was performed: drainage of the abscess, orchofuniculectomy, cystostomy. The patient received Meropenem for 11 days and Ciprofloxacin for 10 days. The bacteriological result of the prostate abscess and inguinal canal was the same: Klebsiella pneumonia, sensitive to Ciprofloxacin. Pathology revealed purulent orchoepididymitis with abscesses, seminal cord with inflammation and granulation tissue. The wound healed. The patient had a follow-up visit after 3 months and had no complaints. In cases where a urinary tract infection is treated but does not fully benefit from treatment, further investigation is needed. Successful treatment of the primary site of infection and surgical exploration of the inguinal canal gave good result.. .. .. .
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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