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Epididymo-Orchitis Leading to Global Testicular Infarction in a Pediatric Patient - A Case Report
Cassandra Heaney1, Derek Friedman2, Mahmut Akgul3
1College of Medicine, SUNY Downstate, Brooklyn, NY.
Abstract:
Epididymo-orchitis (EO) is a common urologic condition that rarely requires surgical intervention. Global testicular infarction is an exceedingly uncommon complication of EO and is thought to occur when severe epididymal edema compresses testicular vessels. We present a rare case of global testicular infarction secondary to EO in a 17-year-old boy. Predicting which cases of EO will progress to testicular ischemia is challenging, as no clear risk factors have been identified. Early recognition of testicular compromise requires a high degree of clinical suspicion and may provide the opportunity for testis-sparing intervention.
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