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Case Reports
. 2020 Jul 3;12(7):e8991.
doi: 10.7759/cureus.8991.

Testicular Abscess and Ischemia Secondary to Epididymo-orchitis

Affiliations
Case Reports

Testicular Abscess and Ischemia Secondary to Epididymo-orchitis

Brittany Hackett et al. Cureus. .

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.

Keywords: epididymitis; epididymo-orchitis; ischemia; orchitis; testicular infarction.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Grayscale ultrasound showing heterogeneous testicle and epididymis, and complex hydrocele.
Figure 2
Figure 2. Spectral Doppler ultrasound of right testicle demonstrating normal arterial (a) and venous (b) flow.

References

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