Testicular Infarction in a Patient with Epididymitis

Abstract

Summary To the authors' knowledge, this case is unique to the emergency medicine literature. Although testicular infarction from epididymitis is rare, it should be considered as a complication of severe or unresolving epididymitis. These patients should be Dlaced on broad spectrum antibiotcs, i.e., quinolones; color flow Dopp‐er of the testes should be obtained; md urologic consultation should be onsidered for possible admission ind surgical exploration.

Segmental haemorrhagic infarction of the testis in a paediatric patient: a rare aftermath of epididymitis

“…Patients and/or their relatives should be advised of possible complications, including sepsis, abscess and extension of the infection 4. Epididymitis can be treated in the outpatient setting with close follow-up, but according to our present experience, and reviewing the literature,1–3 8 9 there may be some cases that may require surgical attention. Vordermark et al 3 affirmed that, surgical exploration must be performed in all patients in which, radionuclide scan gives an evidence of testicular hypoperfusion.…”

Testicular infarction in a patient with spinal cord injury with epididymitis: A case report

“…Epididymitis-related testicular infarction is uncommon, and it has been mentioned in only a few case reports or case series (2)(3)(4)(5). Patients with SCI-related neurogenic bladder dysfunction are at a higher risk of developing UTI, which could be accompanied by complications such as epididymitis.…”

Reversal of Diastolic Blood Flow in the Testis of a Patient With Impending Infarction Due to Epididymitis

“…Few reports of testicular infarction in the context of epididymitis without orchitis can be found in the literature. [16][17][18][19] Most articles have explained it on the basis of venous impairment of testicular flow. At the time of the first sonographic examination, our patient had typical signs of severe epididymitis.…”