Presentation
Red, hot, swollen left hemiscrotum. Fevers. ? epididymo-orchitis
Patient Data
Age: 35 years
Gender: Male
From the case:
Testicular abscess and pyocele
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- hyperemic left testis and epididymis relative to the right
- the left scrotal cord is markedly echogenic
- heterogenous left testicular echotexture
- complex multiseptated collection within the left hemiscrotum
- small hypoechoic and avascular lesion within the left testis upper pole measuring approximately 1 cm
Case Discussion
Severe left epididymo-orchitis complicated by left testicular abscess and complex pyocele within the left hemiscrotum.
The patient was treated with a prolonged course of antibiotics following surgical drainage of the pyocele. The testicular abscess improved on subsequent ultrasounds.
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