title: [Spontaneous orchi-epididymitis due to necrosis of ischemic vascular origin].
abstract: The author reports the case of a patient presenting with a recurrent right hydrocele after tapping, associated with an infectious syndrome resulting in a swollen and painful right compartment of the scrotum, which failed to respond to antibiotic treatment. A right scrotal incision revealed a vaginal empyema and a swollen and enflamed testicle and epididymis. After a right ochiectomy, an anatomopathological examination showed a severe ischemia of the testicle and epididymis associated with arteriosclerotic stenosis of the testicular artery.
mesh_terms: D000208:Acute Disease; D004823:Epididymitis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009920:Orchitis / Q000175:diagnosis / Q000209:etiology*; D013737:Testis / Q000098:blood supply* / Q000473:pathology
vernacular_title: Orchi-épididymite spontanée par nécrose d'origine vasculaire ischémique.