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- W2318518273 abstract "A 40-year-old man with quadriparesis presented in January 2014 with pain and swelling in the left testis for 2 weeks. He had sustained cervical spine injury 2 years earlier and had an indwelling urethral catheter since then. He had undergone a right orchiectomy 1 year prior for severe infection.On examination, a clinical diagnosis of acute epididymo-orchitis was made, which was confirmed on ultrasonogram. Routine blood investigations revealed anaemia with leucocytosis and elevated erythrocyte sedimentation rate. Urinalysis showed pyuria and culture was positive for E scherichia coli .The patient was hospitalised, intravenous antibiotics were started along with supportive treatment. The urethral catheter was substituted by a supra pubic catheter.Despite these measures, the testicular inflammation did not subside. After 3 weeks pus started discharging from the anterior surface of the scrotum. Ultrasonogram revealed a large abscess in the anterior part of the testis (figure 1).Figure 1 Ultrasonogram image depicting abscess in the anterior aspect of the testis with absent blood flow.Surgical intervention was planned. The anterior aspect of the testis was found to be necrotic with foul …" @default.
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- W2318518273 date "2014-11-06" @default.
- W2318518273 modified "2023-09-25" @default.
- W2318518273 title "Salvaging a solitary necrotic testis in a quadriparetic" @default.
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- W2318518273 doi "https://doi.org/10.1136/bcr-2014-205893" @default.
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