Giant infected hydrocele: a case report

We present the case of a 72-year-old male admitted with a giant infected hydrocele. His medical history includes a transurethral resection of the prostate for benign prostatic hyperplasia and a total thyroidectomy complicated by postoperative hematoma necessitating a tracheostomy. The patient reported a three-year history of right hemiscrotal enlargement, with significant symptom exacerbation in the preceding month. Physical examination revealed a markedly enlarged, tender scrotum with epidermolysis and a body temperature of 38°C. Laboratory findings showed leukocytosis and elevated C-reactive protein levels. Imaging studies demonstrated well-vascularized testes with significant inflammatory changes and septations, consistent with a complex hydrocele. Surgical intervention involved drainage of approximately 3 liters of purulent fluid, debridement of necrotic tissue, and right orchiectomy. Postoperative management included a 10-day course of antibiotics, leading to favorable progress. The patient was discharged on the tenth postoperative day and remained in good health at the three-month follow-up.