%0 Case Reports
%T Neonatal epididymo-orchitis with pyocele mimicking testicular torsion: A case report.
%A Ayed A
%A Alik A
%A Khan S
%A Ibrahim ME
%J Urol Case Rep
%V 54
%N 0
%D 2024 May
%M 38516173
暂无%R 10.1016/j.eucr.2024.102702
%X 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.