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Related Concept Videos

Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

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Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
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Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
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Acute Pharyngitis01:30

Acute Pharyngitis

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This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
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Updated: Jul 28, 2025

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
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Emphysematous Epididymo-Orchitis: A Rare Case Report.

Mohamed Abdelkarim1, Abdo Alfares1, Hadi Aldarwish2

  • 1Department of Urology, King Khalid Hospital, Hail, SAU.

Cureus
|June 2, 2023
PubMed
Summary

Emphysematous epididymo-orchitis, a rare infection with gas in testicular tissue, can be fatal. This case highlights diagnosis and surgical management of this severe condition.

Keywords:
emphysematousepididymo-orchitisgas shadowgas-producing organismsinfection

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Area of Science:

  • Urology
  • Infectious Diseases
  • Radiology

Background:

  • Emphysematous epididymo-orchitis is a rare, life-threatening infection characterized by gas within the epididymis and testes.
  • It often affects patients with underlying conditions such as diabetes mellitus.

Observation:

  • A 49-year-old male with diabetes and hypertension presented with acute right inguinoscrotal swelling and severe pain.
  • Scrotal ultrasound revealed a fluid-filled avascular mass.
  • Non-contrast CT scan demonstrated gas and fluid density in the right epididymis, perineum, and spermatic cord.

Findings:

  • The patient was diagnosed with emphysematous epididymo-orchitis.
  • After initial refusal, the patient consented to surgical intervention.
  • A right orchidectomy with spermatic cord removal was successfully performed.

Implications:

  • This case underscores the importance of prompt diagnosis and surgical intervention for emphysematous epididymo-orchitis.
  • Early recognition and management are crucial to prevent severe complications and mortality.
  • Surgical management, including orchidectomy, can be effective in treating this rare condition.