Bilateral idiopathic infantile pyoceles: a case report.

A 15-day-old infant was admitted to the 803 Military Hospital with swelling, bilateral erythematous changes, a tender firm mass in the scrotum and fever of six hours' duration. Scrotal sonography showed accumulated fluid with internal echoes in both hydrocele sacs. Aspirated fluid was found to contain Escherichia coli and bilateral scrotal pyoceles was diagnosed. The most common etiologic factor for this is meconium peritonitis, with surgical drainage being the necessary treatment. The case is reported, with a review of the literature.