Ruptured testicular abscess: a rare complication of epididymo-orchitis

Epididymo-orchitis is a medical condition characterised by inflammation of epididymis and testis which is a common urological diagnosis encountered by healthcare professionals. Misdiagnosis and under treatment can lead to poor outcome such as infarction and abscess formation. We presented a 33-ye...

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Main Authors:	Lee, C. Y., Syazwan, Abu, Omar, Syed F. S., Anuar, Syahril, Ab Rashid, Islah Munjih, Ghazali, Hamid
Format:	Article
Language:	English English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2019
Subjects:	R Medicine (General) RD Surgery
Online Access:	http://irep.iium.edu.my/76182/ http://irep.iium.edu.my/76182/ http://irep.iium.edu.my/76182/1/76182_Ruptured%20testicular%20abscess.pdf http://irep.iium.edu.my/76182/2/76812_Ruptured%20testicular%20abscess_SCOPUS.pdf

id	iium-76182
recordtype	eprints
spelling	iium-761822019-12-17T01:12:21Z http://irep.iium.edu.my/76182/ Ruptured testicular abscess: a rare complication of epididymo-orchitis Lee, C. Y. Syazwan, Abu Omar, Syed F. S. Anuar, Syahril Ab Rashid, Islah Munjih Ghazali, Hamid R Medicine (General) RD Surgery Epididymo-orchitis is a medical condition characterised by inflammation of epididymis and testis which is a common urological diagnosis encountered by healthcare professionals. Misdiagnosis and under treatment can lead to poor outcome such as infarction and abscess formation. We presented a 33-year-old man, with no known medical illness, presented with one-week history of left testicular pain, swelling and fever. He was commenced on Amoxicillin by his general practitioner. Physical examination showed left swollen and tender testis and normal right testis. Investigations showed an elevated white cell count (WCC) 41.3x103 /L and colour doppler ultrasound (USG) testes showed left epididymo-orhitis. He was admitted and treated with IV Unasyn® (Ampicillin+Sulbactam) for 5 days. His symptoms improved, and he discharged home well with one week oral Unasyn®. He represented 2 weeks later with worsening left scrotal swelling and pain. Clinical examination found a swollen, tender and erythematous scrotum with 1x1cm defect in the left scrotum with purulent discharge. He underwent operation incision and drainage of left scrotum and left orchidectomy. Post-operatively he recovered well. Histopathology reported as epididimoorchitis with abscess, necrosis and perforation. As a conclusion, testicular rupture and abscess formation secondary to epididymo-orchitis is an uncommon reported complication. Immediate recognition and treatment is crucial as a delayed diagnosis can lead to sepsis and infertility. Kulliyyah of Medicine, International Islamic University Malaysia 2019 Article PeerReviewed application/pdf en http://irep.iium.edu.my/76182/1/76182_Ruptured%20testicular%20abscess.pdf application/pdf en http://irep.iium.edu.my/76182/2/76812_Ruptured%20testicular%20abscess_SCOPUS.pdf Lee, C. Y. and Syazwan, Abu and Omar, Syed F. S. and Anuar, Syahril and Ab Rashid, Islah Munjih and Ghazali, Hamid (2019) Ruptured testicular abscess: a rare complication of epididymo-orchitis. International Medical Journal Malaysia (IMJM), 18. p. 8. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/volume_18_supp/Final-Supplement-ECSS-2018-PDF-08.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	R Medicine (General) RD Surgery
spellingShingle	R Medicine (General) RD Surgery Lee, C. Y. Syazwan, Abu Omar, Syed F. S. Anuar, Syahril Ab Rashid, Islah Munjih Ghazali, Hamid Ruptured testicular abscess: a rare complication of epididymo-orchitis
description	Epididymo-orchitis is a medical condition characterised by inflammation of epididymis and testis which is a common urological diagnosis encountered by healthcare professionals. Misdiagnosis and under treatment can lead to poor outcome such as infarction and abscess formation. We presented a 33-year-old man, with no known medical illness, presented with one-week history of left testicular pain, swelling and fever. He was commenced on Amoxicillin by his general practitioner. Physical examination showed left swollen and tender testis and normal right testis. Investigations showed an elevated white cell count (WCC) 41.3x103 /L and colour doppler ultrasound (USG) testes showed left epididymo-orhitis. He was admitted and treated with IV Unasyn® (Ampicillin+Sulbactam) for 5 days. His symptoms improved, and he discharged home well with one week oral Unasyn®. He represented 2 weeks later with worsening left scrotal swelling and pain. Clinical examination found a swollen, tender and erythematous scrotum with 1x1cm defect in the left scrotum with purulent discharge. He underwent operation incision and drainage of left scrotum and left orchidectomy. Post-operatively he recovered well. Histopathology reported as epididimoorchitis with abscess, necrosis and perforation. As a conclusion, testicular rupture and abscess formation secondary to epididymo-orchitis is an uncommon reported complication. Immediate recognition and treatment is crucial as a delayed diagnosis can lead to sepsis and infertility.
format	Article
author	Lee, C. Y. Syazwan, Abu Omar, Syed F. S. Anuar, Syahril Ab Rashid, Islah Munjih Ghazali, Hamid
author_facet	Lee, C. Y. Syazwan, Abu Omar, Syed F. S. Anuar, Syahril Ab Rashid, Islah Munjih Ghazali, Hamid
author_sort	Lee, C. Y.
title	Ruptured testicular abscess: a rare complication of epididymo-orchitis
title_short	Ruptured testicular abscess: a rare complication of epididymo-orchitis
title_full	Ruptured testicular abscess: a rare complication of epididymo-orchitis
title_fullStr	Ruptured testicular abscess: a rare complication of epididymo-orchitis
title_full_unstemmed	Ruptured testicular abscess: a rare complication of epididymo-orchitis
title_sort	ruptured testicular abscess: a rare complication of epididymo-orchitis
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2019
url	http://irep.iium.edu.my/76182/ http://irep.iium.edu.my/76182/ http://irep.iium.edu.my/76182/1/76182_Ruptured%20testicular%20abscess.pdf http://irep.iium.edu.my/76182/2/76812_Ruptured%20testicular%20abscess_SCOPUS.pdf
first_indexed	2023-09-18T21:47:41Z
last_indexed	2023-09-18T21:47:41Z
_version_	1777413560130863104

Ruptured testicular abscess: a rare complication of epididymo-orchitis

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