Emphysematous epididymitis following hydrocelectomy

Greear, Garrick; Bechis, Seth K.

doi:10.1016/j.eucr.2020.101361

Cited by 3 publications

(5 citation statements)

References 4 publications

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“…The differential diagnosis of acute scrotal presentation, including Fournier’s gangrene, epididymo-orchitis, testicular torsion, testicular shrapnel, or testicular tumor, must be distinguished because their treatment significantly differs [ 1 , 4 , 6 ]. All of these should be considered for any patient who presents with inguinoscrotal swelling and tenderness.…”

Section: Discussionmentioning

confidence: 99%

“…Epididymitis is the most common infection in the scrotum due to the intimate vicinity of the epididymis and the testicular tissue; orchitis would be the expected result in approximately 20-40% of the cases [5,6]. However rare, the presence of gas within the epididymis and the testicular tissue is a pathognomonic feature; only seven cases in the literature were reported [1][2][3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…Imaging plays an important role in the diagnosis, and the US is the most commonly used modality in scrotal and intra-scrotal lesions. This may show gas locules in emphysematous epididymo-orchitis appearing within the parenchyma as hyperechoic areas, which are considered pathognomonic, and alteration and/or enlargement of the echotexture [4][5][6]. CT is preferred to confirm the diagnosis due to its high sensitivity and specificity in detecting the presence of gases.…”

Section: Discussionmentioning

confidence: 99%

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Emphysematous Epididymo-Orchitis: A Rare Case Report

Abdelkarim¹,

Alfares²,

Aldarwish³

et al. 2023

Cureus

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Emphysematous epididymo-orchitis is a rare and potentially fatal infection marked by the presence of gas in the epididymis and testicular tissue. Here, we describe the case of a 49-year-old male with a known past medical history of diabetes and hypertension who presented with right inguinoscrotal swelling and severe tenderness. An urgent scrotal ultrasound was obtained and revealed a fluid-filled avascular mass. Moreover, the non-contrast CT scan showed a mixture of air and fluid density in the right epididymis, perineum, and spermatic cord course. The medical team confirmed the diagnosis of emphysematous epididymo-orchitis. The patient refused the management plan at first, but later came back and accepted the procedure. A right orchidectomy with spermatic cord removal was performed without complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Emphysematous Epididymo-Orchitis: A Rare Case Report

Abdelkarim¹,

Alfares²,

Aldarwish³

et al. 2023

Cureus

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“…This is different from Fournier’s gangrene, which usually spares the testicular and epididymal tissue [ 10 ]. In most of the reported cases, it was secondary to genito-colonic fistula formation [ 3 , 6 ] or recent urinary tract intervention [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Emphysematous epididymo-orchitis: imaging plays a vital part in active management: case report and literature review

Ilangovan

Ghazanfar

Chitale

2022

Journal of Surgical Case Reports

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We hereby present a rare cause of acute scrotum secondary to emphysematous epididymo-orchitis (EEO). It is often not diagnosed until crepitus is palpable in the scrotal wall with spreading cellulitis, at which point it has reached an advanced stage. This case report details a 55-year-old man with poorly controlled diabetes who presented with an acute scrotum that failed to resolve with oral antibiotics in primary care. Following rapid detection of EEO on an early scrotal ultrasound scan, the patient had surgical debridement and a near-total orchidectomy with only a small stump of testis and tunica albuginea left behind. This case highlights the importance of timely imaging, particularly in diabetic men with an acute scrotum with a high clinical suspicion of intratesticular abscess. An incidental but significant finding of EEO would warrant early surgical intervention to prevent a catastrophic sequelae i.e. Fournier’s gangrene.

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“…Moreover, the most common causative organisms are Escherichia coli and Klebsiella pneumoniae , which are known to produce gas as a by-product of their metabolism. Other less common organisms include Pseudomonas aeruginosa , Proteus mirabilis , and anaerobes such as Bacteroides fragilis [ 13 , 16 ].…”

Section: Reviewmentioning

confidence: 99%

An Overview of Emphysematous Epididymo-Orchitis: A Systematic Review of Case Reports

Bokhari¹,

Aldarwish²,

Albladi³

et al. 2023

Cureus

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Emphysematous epididymo-orchitis (EEO) is a rare but serious condition that involves the presence of gas within the tissues of the testicle and/or the epididymis. It is a medical emergency that can be life-threatening if left untreated. Management of this condition may involve a combination of antibiotics, surgical drainage, and supportive care. In March 2023, A systematic review of case reports was conducted to identify and examine cases of EEO. We used PubMed, ScienceDirect, and Google Scholar for a methodical search. Only seven out of 136 studies met our criteria for this review of case reports. However, this review discusses symptom presentation, imaging findings, complications, and possible management of EEO.

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Emphysematous epididymitis following hydrocelectomy

Cited by 3 publications

References 4 publications

Emphysematous Epididymo-Orchitis: A Rare Case Report

Emphysematous Epididymo-Orchitis: A Rare Case Report

Emphysematous epididymo-orchitis: imaging plays a vital part in active management: case report and literature review

An Overview of Emphysematous Epididymo-Orchitis: A Systematic Review of Case Reports

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