PDF(Pubmed)
Abstract：
We report 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 study emphasizes the significance of including EO in the possible diagnoses for neonatal scrotal swelling.
摘要：
我们报告了一名12天大的沙特男孩的附睾睾丸炎（EO）病例。新生儿,分娩后最初诊断为鞘膜积液，表现为左阴囊肿胀。多普勒超声显示睾丸正常，但增大，回声左附睾伴脓疱。尽管最初使用阿莫西林和头孢噻肟治疗，重复的超声显示睾丸血管受损，需要紧急手术探查。这显示了脓性分泌物和炎症，以大肠杆菌为病原体。手术后,患者表现出显著改善，住院10天后病情良好。该研究强调了在新生儿阴囊肿胀的可能诊断中包括EO的重要性。
