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CASE REPORT
Year : 2011  |  Volume : 27  |  Issue : 3  |  Page : 399-400

Emphysematous epididymo-orchitis: A rare entity


1 Department of Surgery, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, India
2 Department of Microbiology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, India

Correspondence Address:
Alok Mathur
Department of Surgery, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun - 248 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.85447

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Emphysematous epididymo-orchitis is a rare cause of an acute scrotum and is a surgical emergency. Diagnosis is clinically difficult, and sonography with a high-frequency probe is useful to pick up gas shadows in the scrotal wall or testicular substance. A diabetic patient presented with fever, urinary tract infection, and an acute scrotal swelling. The patient needed orchidectomy and scrotal debridement. As in emphysematous pyelonephritis, this condition occurs in diabetics, and patients may need surgery. There is a need to perform sonography in all diabetic patients with an acutely inflamed scrotum, because detection of gas shadows makes surgical intervention more likely.


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