Appendicular abscess masquerading as right testicular mass

BMJ Case Rep. 2019 May 27;12(5):e229038. doi: 10.1136/bcr-2018-229038.

Abstract

A 38-year-old man presented with an acute onset of pain and swelling of the right testis. On examination, he was tender in the right iliac fossa (RIF) with a grossly enlarged and tender right testis. Ultrasonography and contrast-enhanced CT of the abdomen and pelvis revealed right epididymo-orchitis, a bulky and inflamed right spermatic cord and a well- defined, thick-walled collection in the RIF.

Keywords: gastrointestinal surgery; general surgery; urinary tract infections.

Publication types

  • Case Reports

MeSH terms

  • Abdomen / diagnostic imaging
  • Abscess / drug therapy
  • Abscess / surgery
  • Appendectomy / methods
  • Appendix / microbiology*
  • Appendix / pathology
  • Appendix / surgery
  • Diagnosis, Differential
  • Epididymitis / pathology
  • Genital Diseases, Male / diagnosis*
  • Genital Diseases, Male / pathology
  • Humans
  • Laparotomy / methods
  • Male
  • Orchitis / pathology
  • Spermatic Cord / pathology
  • Testicular Neoplasms / pathology*
  • Treatment Outcome