An unusual complication of epididymo-orchitis: scrotal pyocele extending into the inguinal canal mimicking a strangulated inguinal hernia.

We report a case of a paraplegic patient with an indwelling Foley catheter and epididymo-orchitis leading to a scrotal pyocele. This case is unique in that the patient's physical examination revealed both inguinal and scrotal abnormalities that mimicked a strangulated inguinal hernia. Imaging studies and surgical exploration helped elucidate the exact diagnosis. Although rare, this entity requires emergent surgical consultation. We will also discuss the etiology, pathophysiology, and treatment of scrotal abscesses.