[A case of pyogenic orchitis with abscess formation]

Area of Science:

• Urology
• Pathology

Background:

• Acute testicular pain and swelling are common urological symptoms.
• Epididymitis is a frequent diagnosis, but orchitis can be a complication.

Observation:

• A 34-year-old male presented with right testicular swelling, pain, and erythema.
• Initial diagnosis of acute epididymitis was made, but treatment failed.
• Hospitalization revealed a scrotal abscess with E. coli, leading to persistent testicular pain.

Findings:

• Incision and drainage yielded pus, and cultures identified E. coli sensitive to antibiotics.
• Despite initial improvement, testicular abscess formation was discovered during attempted epididymectomy.
• Histopathology confirmed extensive testicular necrosis and inflammation, indicating pyogenic orchitis.

Implications:

• This case highlights the importance of considering pyogenic orchitis in refractory epididymitis.
• Prompt diagnosis and management are crucial to prevent testicular loss.
• Further research into the pathogenesis and treatment of pyogenic orchitis is warranted.