Concurrent Spermatic Cord Abscess And Prostatic Abscess In A Diabetic Male – A Case Report

Concurrent occurrence of spermatic cord abscess and prostatic abscess is exceedingly rare, with few cases reported in medical literature. These entities may present with overlapping signs and symptoms, particularly in immunocompromised individuals, such as those with diabetes mellitus. We report the case of a 42-year-old male with long-standing type 2 diabetes who presented with right groin pain, fever, and dysuria. Initial ultrasonographic evaluation at an outside facility misdiagnosed the condition as an incarcerated right inguinal hernia due to the presence of a tender inguinal swelling. However, further imaging at our centre revealed multiloculated abscesses involving the spermatic cord and prostate, along with associated seminal vesiculitis. The patient responded well to intravenous antibiotics and prostatic drainage and was discharged with complete clinical resolution. This case emphasizes the importance of considering deep pelvic and multifocal genitourinary infections in diabetic patients with groin pain and urinary symptoms.