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Urol Case Rep. 2021 Sep 30;40:101873. doi: 10.1016/j.eucr.2021.101873. eCollection 2022 Jan.

Pediatric intratesticular abscess managed with a testicular sparing approach: A case report.

Urology case reports

Kelly Lurz, Shana Santarelli, Shaun Hager, Ahmad Bani Hani

Affiliations

  1. Maine Line Health, Department of Urology, Wynnewood, PA, USA.
  2. Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
  3. Alfred I. duPont Hospital for Children, Wilmington, DE, USA.

PMID: 34660205 PMCID: PMC8502707 DOI: 10.1016/j.eucr.2021.101873

Abstract

Intratesticular abscess is a rare finding associated with advanced or untreated epididymo-orchitis, often in immunocompromised patients. Implicated pathogens can be spread hematogenously, by urine reflux in dysfunctional voiders, through aberrant mesonephric duct anatomy, or via a patent processus vaginalis in the setting of an intra-abdominal infection. A testicular-sparing surgical approach is often used in prepubertal populations and is associated with positive outcomes. We present the case of a 6-year-old male with a polymicrobial intratesticular abscess that was successfully managed with antibiotics, operative incision and drainage of abscess cavity, and primary wound closure with drain placement.

© 2021 Published by Elsevier Inc.

Keywords: Abscess; Anti-bacterial agents; Epididymitis; Orchitis; Wolffian ducts

References

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  2. Clin Case Rep. 2014 Feb;2(1):7-9 - PubMed
  3. Br Med J (Clin Res Ed). 1986 May 24;292(6532):1361-2 - PubMed

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