Testicular infarction due to epididymitis
Updates to Case Attributes
Testicular ischemia secondary to non responding epididymitis to antibiotics is rare.
Colour flow Doppler Doppler ultrasound is required to asses the involved testicle in patients with epididymitis who responded initially initially to antibiotics treatment and later developed pain and tenderness and and fevers during during the course of treatment.
In this case no flow was detected 6six days after initial antibiotic therapy therapy and patient had ongoing pain and tenderness and febrile episode while on broad spectrum IV antibiotics.
Surgical exploration was performed after after colour flow Doppler ultrasound showed no flow in the affected testicle.
-<p>Testicular ischemia secondary to non responding epididymitis to antibiotics is rare.</p><p>Colour flow Doppler ultrasound is required to asses the involved testicle in patients with epididymitis who responded initially to antibiotics treatment and later developed pain and tenderness and fevers during the course of treatment.</p><p>In this case no flow was detected 6 days after initial antibiotic therapy and patient had ongoing pain and tenderness and febrile episode while on broad spectrum IV antibiotics.</p><p>Surgical exploration was performed after colour flow Doppler ultrasound showed no flow in the affected testicle.</p><p> </p>- +<p>Testicular ischemia secondary to non responding epididymitis to antibiotics is rare.</p><p>Colour flow Doppler ultrasound is required to asses the involved testicle in patients with epididymitis who responded initially to antibiotics treatment and later developed pain and tenderness and fevers during the course of treatment.</p><p>In this case no flow was detected six days after initial antibiotic therapy and patient had ongoing pain and tenderness and febrile episode while on broad spectrum IV antibiotics.</p><p>Surgical exploration was performed after colour flow Doppler ultrasound showed no flow in the affected testicle.</p>
References changed:
- 3. Sue SR, Pelucio M, Gibbs M. Testicular infarction in a patient with epididymitis. Acad Emerg Med 1998;5:1128–30
- 2. Vordermark JS, Favila M. Testicular necrosis: a preventable complication of epididymitis. J Urol. 192: 128:1322-4.
- 1. Drotman DP. Epidemiology and treatment of epididymitis. Rev Infect Dis.1984; 4(suppl):S788.
Tags changed:
- ultrasound
Updates to Study Attributes
Patient underwent colour Doppler ultrasonography of the testicles that showed increased vascularity and increased resistive index of the right testicle and the right testicle was grossly enlarged.
The USSultrasound findings were suggestive of epididymo-orchits.
Image Ultrasound (Transverse) ( update )
Image Ultrasound ( update )
Updates to Study Attributes
PathologyFollow up ultrasound exam showed extensive necrosis with acute on chronic inflammation and some haemorrhage and fibrosis involving epididymis and spermatic cord andshows no flow in the right testicle with color Doppler imaging.
Updates to Study Attributes
Patient
- pathology exam showed extensive necrosis with acute on chronic inflammation and some haemorrhage and fibrosis involving epididymis and spermatic cord and the right testicle
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patient underwent scrotal exploration, which revealed a necrotic right testicle and epididymitis
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Image Photo (100x) ( update )
Image 2 Photo (100x) ( update )
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