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

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

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We report a case of epididymo-orchitis (EO) in a 12-day-old Saudi boy.The neonate, initially click here 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 rosy teacup dogwood and was discharged in good condition after a ten-day of hospitalization.

The study emphasizes the significance of including EO in the possible diagnoses for neonatal scrotal swelling.