Neonatal epididymo-orchitis with pyocele mimicking testicular torsion: A case report

Neonatal epididymo-orchitis with pyocele mimicking testicular torsion: A case report

Blog Article

We report here a case of epididymo-orchitis (EO) in a 12-day-old Saudi boy.The neonate, initially diagnosed with hydrocele post-delivery, presented with left scrotal swelling.Doppler ultrasound revealed normal testicles but an enlarged, echogenic left epididymis with pyocele.Despite initial therapy with amoxicillin and cefotaxime, a repeated ultrasound indicated compromised testicular vascularity, necessitating emergency surgical exploration.This revealed purulent discharge and inflammation, with Escherichia coli as a causative agent.

Post-surgery, the patient showed significant improvement and was discharged in good condition after a ten-day of hospitalization.The here study emphasizes the significance of including EO in the possible diagnoses for neonatal scrotal swelling.