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Case Reports: Unusual presentation of more common disease/injury
Testicular infarction and spontaneous scrotal rupture secondary to acute epididymo-orchitis
  1. Fang Shen1,
  2. Jada Kapoor1,
  3. Diana Moir2 and
  4. Dennis Gyomber1
  1. 1Department of Urology, Northern Hospital Epping, Epping, Victoria, Australia
  2. 2Department of Anatomical Pathology, Alfred Health, Melbourne, Victoria, Australia
  1. Correspondence to Dr Fang Shen; fshen{at}aliyun.com

Abstract

Epididymo-orchitis is a common cause of acute unilateral testicular pain. Both infectious or non-infectious causes have been proposed and, rarely, testicular abscess formation and even infarction can occur as a severe complication. We present here a case of acute epididymo-orchitis leading to testicular abscess formation, infarction and spontaneous rupture through the scrotal wall despite appropriate antibiotic treatments. Orchidectomy and partial scrotectomy were performed during surgical exploration for management of the non-viable testis and associated scrotal sinus. Clinical vigilance is important to prevent this complication by close clinical follow up with ultrasonography and even early surgical decompression to prevent testicular loss.

  • urological surgery
  • ultrasonography

https://doi.org/10.1136/bcr-2021-247028

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    Footnotes

    • Contributors FS wrote the draft. JK conceived the idea and help with the review. DM reviewed pathology. DG performed critical revision and review of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.