DOI: 10.36347/sjmcr.2014.v02i09.006

Pages: 597-598

Acute epididymo-orchitis is a common cause of acute scrotum in the young sexually active male and in most cases resolves with appropriate conservative treatment. However in 4-5% of males, testicular abscess develops as a complication. We present an uncommon case of a young adult male who came to the surgical emergency with acute scrotum. On investigation there were polymorphonuclear leucocytosis and ultrasonographic features of right epidiymoorchitis with funniculitis with decreased vascularity of right testis with an evolving abscess. Patient underwent scrotal exploration in emergency and was found to have a testicular abscess with sloughing of testicular tissue and scrotal wall of right hemiscrotum. Drainage of pus with wound toileting was done. Post operatively patient showed rapid recovery. A follow up scan at 03 weeks showed improved vascularity of the residual testis and resolution of the testicular abscess, cord oedema and induration.