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Case Reports in Medicine
Volume 2013 (2013), Article ID 184064, 2 pages
http://dx.doi.org/10.1155/2013/184064
Case Report

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

Department of Urology, University of California San Francisco, San Francisco, CA 94143, USA

Received 14 June 2013; Accepted 4 September 2013

Academic Editor: W. Zidek

Copyright © 2013 Uwais B. Zaid et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.