Intratesticular Abscess in a Solitary Testicle : The Case for Testicle Sparing Management

Abstract EN

We present the case of a 24-year-old immunocompromised man with an intratesticular abscess.

The patient presented with one week of left scrotal pain and swelling.

Workup included scrotal ultrasonography which revealed a large fluid collection within the tunica albuginea of the left testis.

Surgical exploration of the left testis evacuated a significant amount of purulent fluid.

The residual viable testicular parenchyma was salvaged.

Intraoperative cultures grew Morganella morganii.

Follow-up ultrasonography showed resolution of the testicular fluid collection, and the patient was discharged home with oral antibiotics.

Intratesticular abscesses are a rare clinical entity which often result in orchiectomy.