Lurz Kelly, Santarelli Shana, Hager Shaun, Hani Ahmad Bani
Maine Line Health, Department of Urology, Wynnewood, PA, USA.
Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Urol Case Rep. 2021 Sep 30;40:101873. doi: 10.1016/j.eucr.2021.101873. eCollection 2022 Jan.
Intratesticular abscess is a rare finding associated with advanced or untreated epididymo-orchitis, often in immunocompromised patients. Implicated pathogens can be spread hematogenously, by urine reflux in dysfunctional voiders, through aberrant mesonephric duct anatomy, or via a patent processus vaginalis in the setting of an intra-abdominal infection. A testicular-sparing surgical approach is often used in prepubertal populations and is associated with positive outcomes. We present the case of a 6-year-old male with a polymicrobial intratesticular abscess that was successfully managed with antibiotics, operative incision and drainage of abscess cavity, and primary wound closure with drain placement.
睾丸内脓肿是一种罕见的病症，与晚期或未治疗的附睾炎相关，常见于免疫功能低下的患者。相关病原体可通过血行播散、功能障碍性排尿者的尿液反流、异常的中肾管解剖结构或腹腔内感染时未闭的鞘状突传播。睾丸保留手术方法常用于青春期前人群，且效果良好。我们报告一例6岁男性患者，患有多微生物性睾丸内脓肿，通过抗生素治疗、脓肿腔手术切开引流以及放置引流管的一期伤口闭合成功治愈。
