Testicular infarction due to epididymitis
Testicular ischemia secondary to non responding epididymitis to antibiotics is rare.
Color 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.
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.
Surgical exploration was performed after color flow Doppler ultrasound showed no flow in the affected testicle.