Image
Pneumoscrotum
- Image ID
- MPX2461_synpic37573
- Case U_id
- MPX2461
- Modality
- CT · CT - noncontrast
- Plane
- Axial
- Location
- Genitourinary (Reproductive and Urinary System)
- Age / Sex
- 55 / male
- Caption
- Pneumoscrotum
- ACR Codes
- 0.0
Clinical case
- History
- 55 year man status-post a 10 foot fall
- Exam
- Scrotal crepitance
- Findings
- Pnsuemoscrotum (air in scrotal sac) is present, as well as diffuse subcutaneous emphysema extending along the patient's entire left side. Numerous left-sided rib fractures, left-sided pneumothorax and chest tube are present (not shown).
- Differential Diagnosis
- Pneumoscrotum as a result of: • Trauma • Pneumothorax • Chest tube insertion • Fournier's gangrene • Recent Surgery
- Case Diagnosis
- Pneumoscrotum
- Diagnosis By
- imaging
Topic
- Category
- Trauma
- ACR Code
- 8.4
Disease discussion
• Pneumoscrotum may occur for a variety of iatrogenic or procedural reasons, including: various endoscopies (colonoscopy, etc), pacemaker placement, tracheal intubation, CPR, chest drain insertion, and open gastrostomy.
• Pathologic etiologies also exist, including: pneumothorax, pneuomediastinum, scrotal trauma, gas-producing infections, and visceral perforations.
• Management is usual supportive with intervation directed at the etiology.