Salama Nader, Hatem Alaa, Sirelkhatim Hassan Omer
Department of Urology, Alexandria Faculty of Medicine, Alexandria, Egypt.
Department of Urology, Bahari Faculty of Medicine, Khartoum Bahari, Sudan.
Clin Med Insights Case Rep. 2023 Jan 11;16:11795476221146900. doi: 10.1177/11795476221146900. eCollection 2023.
Epididymo-orchitis is a common intra-scrotal inflammation among males that causes swelling of the epididymis and testis. In the era of modern antibiotics, complications associated with this condition are now rare. Herein, we report a 28-year-old man with acute epididymo-orchitis complicated by the formation of several abscesses involving the left testis and seminal vesicles. The literature review showed this patient as the first case with such extensive complications following epididymo-orchitis. Initial antimicrobial therapy was unable to resolve the condition. The management necessitated surgical intervention, which included MRI-guided aspiration of the seminal vesicle abscesses and testicular sparing drainage of the testicular abscess.
附睾炎是男性常见的阴囊内炎症，可导致附睾和睾丸肿胀。在现代抗生素时代，与这种疾病相关的并发症现在很少见。在此，我们报告一名28岁男性，患有急性附睾炎，并伴有累及左侧睾丸和精囊的多个脓肿形成。文献综述显示，该患者是附睾炎后出现如此广泛并发症的首例病例。初始抗菌治疗未能解决病情。治疗需要手术干预，包括磁共振成像（MRI）引导下的精囊脓肿抽吸和睾丸脓肿的保留睾丸引流。
