title: Intratesticular abscess in a solitary testicle: the case for testicle sparing management.
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.
authors.affiliation: Department of Urology, University of California San Francisco, San Francisco, CA 94143, USA.
authors.forename: Uwais B
authors.initials: UB
authors.lastname: Zaid
authors.forename: Herman S
authors.initials: HS
authors.lastname: Bagga
authors.forename: Adam C
authors.initials: AC
authors.lastname: Reese
authors.forename: Benjamin N
authors.initials: BN
authors.lastname: Breyer