Ayed Abdullah, Alik Abderrazak, Khan Shahid, Ibrahim Mutasim E
Department of Surgery, College of Medicine, University of Bisha, Bisha, Saudi Arabia.
Consultant Urologist, Maternity & Children's Hospital, Bisha, 67631, Saudi Arabia.
Urol Case Rep. 2024 Mar 8;54:102702. doi: 10.1016/j.eucr.2024.102702. eCollection 2024 May.
We report a case of epididymo-orchitis (EO) in a 12-day-old Saudi boy. The neonate, initially diagnosed with hydrocele post-delivery, presented with left scrotal swelling. Doppler ultrasound revealed normal testicles but an enlarged, echogenic left epididymis with pyocele. Despite initial therapy with amoxicillin and cefotaxime, a repeated ultrasound indicated compromised testicular vascularity, necessitating emergency surgical exploration. This revealed purulent discharge and inflammation, with as a causative agent. Post-surgery, the patient showed significant improvement and was discharged in good condition after a ten-day of hospitalization. The study emphasizes the significance of including EO in the possible diagnoses for neonatal scrotal swelling.
我们报告一例12日龄沙特男婴患附睾炎-睾丸炎（EO）的病例。该新生儿出生后最初被诊断为鞘膜积液，出现左侧阴囊肿胀。多普勒超声显示睾丸正常，但左侧附睾肿大且回声增强，伴有脓性鞘膜积液。尽管最初使用阿莫西林和头孢噻肟进行治疗，但重复超声检查显示睾丸血管受损，需要进行紧急手术探查。手术发现脓性分泌物和炎症，病因是[此处原文缺失病因相关内容]。术后，患者病情明显改善，住院十天后康复出院。该研究强调了在新生儿阴囊肿胀的可能诊断中纳入EO的重要性。
