A challenging case of surgical management of a single ischemic testicle from severe epididymo-orchitis

A 41 years-old male patient presented acutely with severe right testicular pain, and fever for 48 hours. Patient had a backround of previous left orchidectomy for epididymo-orchitis and sexually-transmitted disease. A clinical diagnosis of right epididymo-orchitis was made and patient was treated wi...

Full description

Saved in:
Bibliographic Details
Published in:Urology case reports 2021-07, Vol.37, p.101610, Article 101610
Main Authors: Zhong, Wenjie, Virk, Amandeep, Leslie, Scott, Sved, Paul, Eisinger, David
Format: Article
Language:English
Subjects:
Inflammation and Infection
Operative
Testicular ischaemia
Tunica vaginalis graft
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 41 years-old male patient presented acutely with severe right testicular pain, and fever for 48 hours. Patient had a backround of previous left orchidectomy for epididymo-orchitis and sexually-transmitted disease. A clinical diagnosis of right epididymo-orchitis was made and patient was treated with intravenous broad-spectrum antibiotic. However subsequent ultrasound revealed imminent testicular ischaemia. Given the challenging nature of the case, i.e. single testicle with testicular ischaemia, surgical exploration, fasciotomy and tunica vaginalis grafting was performed to the patient. The patient recovered fully post-operatively with ultrasound proving restoration of end-diastolic flow to the testicle.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2021.101610