Intratesticular Abscess in a Solitary Testicle: The Case for Testicle Sparing Management. (3rd October 2013)

• Record Type: Journal Article
• Authors: Zaid, Uwais B.; Bagga, Herman S.; Reese, Adam C.; Breyer, Benjamin N.
• Other Names: Zidek W. Academic Editor.
• Is Part Of: Case reports in medicine. Volume 2013(2013)
• Publication Date: 2013-10-03
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Case Reports; Periodicals; 610
• DOI: 10.1155/2013/184064
• Languages: English
• ISSNs: 1687-9627

Abstract

Abstract : We present the case of a 24-year-old immunocompromised man with an intratesticular abscess. The patient presented with one week of left scrotal pain and swelling. Workup included scrotal ultrasonography which revealed a large fluid collection within the tunica albuginea of the left testis. Surgical exploration of the left testis evacuated a significant amount of purulent fluid. The residual viable testicular parenchyma was salvaged. Intraoperative cultures grew Morganella morganii. Follow-up ultrasonography showed resolution of the testicular fluid collection, and the patient was discharged home with oral antibiotics. Intratesticular abscesses are a rare clinical entity which often result in orchiectomy.