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Case Reports
. 2019 Apr 19:27:100893.
doi: 10.1016/j.eucr.2019.100893. eCollection 2019 Nov.

Testicular ischemia secondary to epididymo-orchitis: A case report

Badr Alharbi  1 , Emad Rajih  2 , Adewunmi Adeoye  3 , Bashar Abed Allatiefe  4 , Mohammad Hasan Abdullah  4
Affiliations
Case Reports

Testicular ischemia secondary to epididymo-orchitis: A case report

Badr Alharbi et al. Urol Case Rep. .

Abstract

Testicular infarction is a common urological emergency in clinical practice, it is still underreported when it results from other than spermatic cord torsion. It rarely arises from other pathological processes like vasculitis and infectious disease. We report a case of 18-year-old with epididymo-orchitis complicated by testicular ischemia. This case accentuates the need for a high index of suspicion to rule out concomitant testicular ischemia secondary to epididymo-orchitis that might be salvaged in the future with immediate surgical intervention. Testicular infarction is a devastating complication from epididymo-orchitis that is difficult to predict and distinguish from more common presentations of acute scrotum.

Keywords: Epididymitis; Epididymo-orchitis; Ischemia; Testicular infarction.

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Figures

Fig. 1
Fig. 1
a. Initial doppler ultrasound showing enlarged left epididymis with heterogeneous echopattern and increased vascularity suggesting epididymitis and intact testicular blood flow. b. Follow-up ultrasound showing absent blood flow to the left testicle as well as development of scrotal abscess.
Fig. 2
Fig. 2
Intra-operative photograph of scrotal exploration following drainage of the abscess and appearance of black ischemic left testicle.
Fig. 3
Fig. 3
Histopathology slide with Hematoxylin and Eosin stained sections showing extensive seminiferous tubules necrosis and heavy infiltration by inflammatory cells.
See this image and copyright information in PMC

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