Penile discharge as a presentation of perirectal abscess |
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Authors: | Weizberg Moshe Gillett Brian P Sinert Richard H |
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Affiliation: | Department of Emergency Medicine, State University of New York (SUNY) Downstate/Kings County Hospital, Brooklyn, New York 11203, USA. |
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Abstract: | Anorectal abscesses are a common presentation to the Emergency Department, but are frequently misdiagnosed. We report a patient in whom penile discharge was the presenting symptom of an ischiorectal abscess. A 42-year-old man presented with scrotal pain, swelling, and penile discharge. The genitourinary examination revealed a tender scrotum, and a fluctuant mass was identified on digital rectal examination. Computed tomography (CT) scan revealed an ischiorectal abscess with extension into the corpus cavernosum. We believe our patient's penile discharge was a manifestation of this abscess extension. Penile discharge is typically suggestive of sexually transmitted infections. Although rare, perirectal abscess should be considered in the differential diagnosis of penile discharge. A thorough digital rectal examination should be performed seeking the presence of mass or fluctuance. |
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Keywords: | perirectal abscess penile discharge urethritis scrotal pain rectal examination |
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