Abstract

Testicular abscess is very rare and usually resulted from severe epididymo-orchitis. The most common pathogens are Chlamydia trachomatis, Neisseria gonorrhoeae, and Escherichia coli. The inflammation usually starts in male genitourinary tract and spreads to testis. The testis is enlarged, yellow-white and may show abscess formation. The microscopic findings of testicular abscess demonstrated predominent inflammatory cells (neutrophils) in the interstitium and seminiferous tubules. The patient with testicular abscess usually present with fever, dysuria, and a painful scrotal enlargement. Physical examination may not be possible due to pain and swelling, making it difficult to evaluate the real extent of the lesion. In these patients, doppler US findings are useful. We report a case of testicular abscess secondary to acute epididymo-orchitis.

• Keywords: Testis, Abscess, Epididymitis, Orchitis