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[Recurrent epididymitis in a child without genitourinary malformations: a case report].

Yoshitaka Sekine1, Yutaka Kubota, Jun Kurihara

  • 1Department of Urology, Haramachi Red Cross Hospital.

Hinyokika Kiyo. Acta Urologica Japonica
|October 31, 2002
PubMed
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Recurrent epididymitis in a pediatric patient, even without urinary tract abnormalities, is rare. Surgical intervention was necessary after antibiotic treatment failed to resolve chronic inflammation.

Area of Science:

  • Pediatric Urology
  • Surgical Pathology

Background:

  • Epididymitis, commonly caused by infection, presents with scrotal pain and swelling.
  • While often treated with antibiotics, recurrent or chronic cases may require surgical intervention.

Observation:

  • A 12-year-old boy presented with right scrotal swelling and pain, diagnosed as right epididymitis via Doppler ultrasonography.
  • Initial antibiotic treatment provided temporary relief, but symptoms recurred.

Findings:

  • Histological examination after right epididymectomy confirmed chronic epididymitis.
  • Postoperative screening revealed no congenital genitourinary malformations.

Implications:

  • This case highlights the rare occurrence of recurrent epididymitis in children lacking underlying genitourinary anomalies.

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  • It underscores the importance of considering surgical management for refractory pediatric epididymitis.