Epididymo-Orchitis Leading to Global Testicular Infarction in a Pediatric Patient – A Case Report

Heaney, Cassandra; Friedman, Derek; Akgul, Mahmut; Rehfuss, Alexandra

doi:10.1016/j.urology.2022.11.021

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Therefore, in the early stages of the disease, it may appear as internal testicular ischemia with rich blood ow in the peripheral testicular vessels. This case is characterized by a shorter course of disease and a more acute onset than other case reports [8,9]. Although intraoperative testicular blood ow improved after the obstruction was removed, the testicle was smaller and the area of necrosis was still present at follow-up.…”

Section: Discussionmentioning

confidence: 62%

Acute Epididymo-orchitis in Children Leading to Testicular Ischemia: A Case Report and Literature Review

Fan

Zhang

2023

Preprint

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Background: Epididymo-orchitis is a common pediatric urological emergency, which can typically be managed conservatively with antibiotics. However, if symptoms persist or worsen without an obvious cause, ultrasound evaluation is recommended and surgical exploration may be required. Case presentation: We report a case of rapidly progressing epididymo-orchitis in a child, leading to testicular ischemia within one day. Intraoperatively we identified that high-tension tunica vaginalis caused compression of the swollen testis, leading to ischemia. After incision and decompression, partial blood flow was restored. However, at follow-up, the affected testicle was significantly reduced in size and hardened, with central ischemia. Conclusion: In extremely rare cases, epididymo-orchitis can lead to ischemic necrosis of the testicle. This may be due to early spermatic cord compression, for example, by an enlarged thecal tunica vaginalis sac or epididymis. Early invasive treatment can provide better opportunities to preserve the testicles.

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Section: Discussionmentioning

confidence: 62%

Acute Epididymo-orchitis in Children Leading to Testicular Ischemia: A Case Report and Literature Review

Fan

Zhang

2023

Preprint

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“…6 Another cause may be endothelial damage caused by endotoxins released by bacteria, potentially leading to thrombosis within the epididymal and spermatic veins, further compromising blood flow. 7 Ultrasound remains the most useful imaging method for diagnosing testicular ischemia. Testicular torsion is the most common cause of testicular ischemia.…”

Section: Discussionmentioning

confidence: 99%

“…Severely inflamed and enlarged testes may be more susceptible to torsion, especially if there are congenital pendulum malformations 6 . Another cause may be endothelial damage caused by endotoxins released by bacteria, potentially leading to thrombosis within the epididymal and spermatic veins, further compromising blood flow 7 …”

Section: Discussionmentioning

confidence: 99%

Multimodal ultrasound diagnosis of epididymo‐orchitis with secondary testicular infarction: A case report

Liu,

Shu,

Shi

et al. 2024

J of Clinical Ultrasound

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We report a case of a 48‐year‐old man with testicular infarction caused by epididymo‐orchitis (EO). Multimodal ultrasound showed extensive necrosis of the testis, and the patient underwent right orchiectomy. Postoperative pathology confirmed extensive necrosis of the testis. After 3 months of follow‐up, the examination of scrotal ultrasound showed that the left testis and epididymis had no obvious abnormality.

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Venous Thrombosis. Segmental Infarction and Polypoid Granulomatous Endophlebitis

Nistal,

González-Peramato

2024

Testicular Vascular Lesions

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Epididymo-Orchitis Leading to Global Testicular Infarction in a Pediatric Patient – A Case Report

Cited by 4 publications

References 11 publications

Acute Epididymo-orchitis in Children Leading to Testicular Ischemia: A Case Report and Literature Review

Acute Epididymo-orchitis in Children Leading to Testicular Ischemia: A Case Report and Literature Review

Multimodal ultrasound diagnosis of epididymo‐orchitis with secondary testicular infarction: A case report

Venous Thrombosis. Segmental Infarction and Polypoid Granulomatous Endophlebitis

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