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Testicular infarction and rupture: an uncommon complication of epididymo-orchitis
Daniel Chia1, Peter Penkoff2, Matthew Stanowski2
1Department of Urology, Westmead Hospital, Sydney, New South Wales, Australia daniel.chia8@gmail.com.
Abstract:
Epididymo-orchitis is a common diagnosis in men presenting with unilateral testicular pain. It can be of an infectious or non-infectious aetiology. Clinical examination and laboratory investigations do not reliably differentiate testicular infarction secondary to epididymo-orchitis from uncomplicated epididymo-orchitis. Definitive diagnosis is usually made by ultrasound. Misdiagnosis and under-treatment can lead to poor outcome, such as infarction and loss of the affected testis. We present an uncommon case of epididymo-orchitis resulting in testicular infarction and rupture despite normal initial investigations.
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