[Spontaneous orchi-epididymitis due to necrosis of ischemic vascular origin]

The author reports the case of a patient presenting with a recurrent right hydrocele after tapping, associated with an infectious syndrome resulting in a swollen and painful right compartment of the scrotum, which failed to respond to antibiotic treatment. A right scrotal incision revealed a vaginal empyema and a swollen and enflamed testicle and epididymis. After a right ochiectomy, an anatomopathological examination showed a severe ischemia of the testicle and epididymis associated with arteriosclerotic stenosis of the testicular artery.