Imaging Case: 74 Year Old Male with Rectal Pain and Fatigue
Temp: 97.2 F
SpO2 95% on RA
Physical Exam: Thin elderly male, appearing tired; heart sounds within normal limits; lung sounds with rales at bases; GU exam significant for an edematous and erythematous scrotum extending to the perineum, without bullae, bruising, or crepitus. The area is significantly tender.
At the level of the perineum below the femoral head:
This image shows the perineum and rectum at the level of the base of the ischial tuberosity:
And this image is at the level of the acetabulum including bladder and rectum:
What is Diagnosis?
A) Cellulitis of the Scrotum
B) Fournier's Gangrene
C) Scrotal Abscess
D) Incarcerated Indirect Hernia