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Une syringocèle révélée par un abcès périntéal

Syringocele revealed by perineal abscess

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Résumé

Le terme syringocèle désigne la dilatation kystique des canaux des glandes de Cowper. Nous rapportons le premier cas de syringocèle découverte à l’occasion d’un abcès périnéal étendu chez un homme âgé de 50 ans.

Le diagnostic a été confirmé par le scanner, l’urétrographie rétrograde et l’urétroscopie. Le traitement a consisté en un drainage chirurgical par voie périnéale associée à une dérivation urinaire et une antibiothérapie adaptée.

Le but de ce travail est de discuter les circonstances de découverte ainsi que les modalités diagnostiques et thérapeutiques de cette pathologie peu fréquente.

Abstract

Purpose

The authors present a clinical report of a perforate syringocele diagnosed in a male patient and they review the clinical, radiological and therapeutic aspects of this disease.

Case report

A 50-year-old man attended the emergency room with perineal abscess. Computerized Tomography (CT) scan was used to establish the diagnosis. This patient also underwent urethrocystoscopy, sonography and retrograde urethrography.

Results

Treatment consisted of open surgical evacuation of the perineal abscess with bladder catheter. Urethrocystoscopy showed a large perforate syringocele in the urethra with no need for endoscopy marsupialization. No recurrence was observed at follow-up at 3 months.

Conclusion

Syringocele is a rare malformation which usually is asymptomatic. It can be congenital or acquired and can be classified into four morphological types. The most frequent treatment is endoscopic marsupialization of the syringocèle. Open surgical excision is recommended for complicated syringocèle with abscess or perineal pain.

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Author information

Correspondence to Kamel Chabchoub or Hussein Kandil or Firas Zahwa or Philippe Danjou.

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Chabchoub, K., Kandil, H., Zahwa, F. et al. Une syringocèle révélée par un abcès périntéal. Androl. 17, 283–287 (2007) doi:10.1007/BF03040739

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Mots clés

  • syringocèle
  • glandes de Cowper
  • abcès

Key-Words

  • bulbourethral glands
  • syringocele
  • abscess