An Uncommon Presentation of Testicular Abscess: A Case Report
Journal Title: Scholars Journal of Medical Case Reports - Year 2014, Vol 2, Issue 9
Abstract
Acute epididymo-orchitis is a common cause of acute scrotum in the young sexually active male and in most cases resolves with appropriate conservative treatment. However in 4-5% of males, testicular abscess develops as a complication. We present an uncommon case of a young adult male who came to the surgical emergency with acute scrotum. On investigation there were polymorphonuclear leucocytosis and ultrasonographic features of right epidiymo-orchitis with funniculitis with decreased vascularity of right testis with an evolving abscess. Patient underwent scrotal exploration in emergency and was found to have a testicular abscess with sloughing of testicular tissue and scrotal wall of right hemiscrotum. Drainage of pus with wound toileting was done. Post operatively patient showed rapid recovery. A follow up scan at 03 weeks showed improved vascularity of the residual testis and resolution of the testicular abscess, cord oedema and induration. Keywords: Epididymo-Orchitis, Funniculitis, Testicular Abscess, Pyocele, Orchidectomy.
Authors and Affiliations
Dubepuria R, Gupta AK
Keywords
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