Kabiri Meryem, Barkat Amina, El Ajaje Houda, Allali Nazek, Dafiri Rachida, Lamdouar-Bouazzaoui Naima
National centre of Neonatology and Nutrition Children's Hospital, Rabat 10100, Morocco.
Department of Paediatrics Radiology, Children's Hospital, Rabat 10100, Morocco.
Cases J. 2010 Feb 2;3:44. doi: 10.1186/1757-1626-3-44.
Epididymitis and epididymo-orchitis are an uncommon causes of acute testicular pain in neonatal boys, epididymo-orchitis is infection or inflammation of epididymis and testis it's may be associated with urinary tract infections or reflux of urine predisposed by an underlying vasal anomaly. Pediatricians should examine the testicles meticulously after a baby is born.We report a 7 day-old boy with urinary malformations (ureteral duplication, ureterocel and right hydro-ureteronephrosis) who presented with acute scrotum. The ultrasonography exploration of the testis showed findings consistent with epididymo-orchitis, confirmed by the needle scrotal aspiration of the pus. Further radiological investigations of urinary tract showed the multiples malformations. Epididymo-orchitis should be suspected initially with abnormal physical signs and laboratory findings. Prompt prescription of antibiotics is mandatory, and appropriate therapeutic measures (antibiotics) should be undertaken to prevent recurrences and sequelae.
附睾炎和附睾睾丸炎是新生儿急性睾丸疼痛的罕见原因，附睾睾丸炎是附睾和睾丸的感染或炎症，可能与尿路感染或潜在输精管异常导致的尿液反流有关。儿科医生应在婴儿出生后仔细检查睾丸。我们报告一名7天大患有泌尿系统畸形（输尿管重复、输尿管囊肿和右侧肾盂积水）的男婴，其表现为急性阴囊炎。睾丸超声检查结果与附睾睾丸炎一致，经阴囊穿刺抽脓确诊。进一步的泌尿系统放射学检查显示有多种畸形。最初应根据异常体征和实验室检查结果怀疑附睾睾丸炎。必须立即使用抗生素，并应采取适当的治疗措施（抗生素）以防止复发和后遗症。
