부산대학교 도서관

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jemermed.2007.03.036 Byline: Moshe Weizberg, Brian P. Gillett, Richard H. Sinert Keywords: perirectal abscess; penile discharge; urethritis; scrotal pain; rectal examination Abstract: Anorectal abscesses are a common presentation to the Emergency Department, but are frequently misdiagnosed. We report a patient in whom penile discharge was the presenting symptom of an ischiorectal abscess. A 42-year-old man presented with scrotal pain, swelling, and penile discharge. The genitourinary examination revealed a tender scrotum, and a fluctuant mass was identified on digital rectal examination. Computed tomography (CT) scan revealed an ischiorectal abscess with extension into the corpus cavernosum. We believe our patient's penile discharge was a manifestation of this abscess extension. Penile discharge is typically suggestive of sexually transmitted infections. Although rare, perirectal abscess should be considered in the differential diagnosis of penile discharge. A thorough digital rectal examination should be performed seeking the presence of mass or fluctuance. Author Affiliation: Department of Emergency Medicine, State University of New York (SUNY) Downstate/Kings County Hospital, Brooklyn, New York Article History: Received 20 May 2005; Revised 9 December 2005; Accepted 9 August 2006