Testicular Abscess and Ischemia Secondary to Epididymo-orchitis

Abstract

Acute testicular infarction requiring emergent surgical intervention is often the result of spermatic cord torsion; infrequently, infarction results from other etiologies. We report a case of epididymo-orchitis complicated by abscess resulting in testicular ischemia, not detected on ultrasonography. A high clinical suspicion of testicular ischemia should be maintained in any presentation of testicular pain and swelling, as recognition could lead to early salvage interventions.

Acute Epididymo-Orchitis Complicated With Abscesses in Testis and Seminal Vesicles: A Case Report

“…Such an event sequence may precipitate abscess development. 19 The TA in our patient discharged copious pus and had a maximum dimension of 3 cm. It required, therefore, surgical intervention.…”

A Man With Testicular Pain

“…However, those who are not sexually active can have other gram-negative and gram-positive organisms. 1,3,4 Typically, patients will report testicular pain, swelling, and fever. The differential diagnosis includes testicular torsion, epididyomo-orchitis, epididymal abscess, testicular cancer, and testicular trauma.…”