Neonatal epididymo-orchitis with pyocele mimicking testicular torsion: A case report.
Urol Case Rep
; 54: 102702, 2024 May.
Article
in En
| MEDLINE
| ID: mdl-38516173
ABSTRACT
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 Escherichia coli 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.
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1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Urol Case Rep
Year:
2024
Document type:
Article
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