Abstract
Emphysematous epididymo-orchitis is a rare clinical entity. Up until July 2020, only 9 cases have been reported in PubMed and Scopus platforms, one of which also had scrotal involvement. Therefore, we are reporting the second case with prostate, seminal vesicle, and scrotal involvement. The condition represents an aggressive form of infection caused by gas-forming microbes. The radiological detection of air within the organs involved in the characteristic diagnostic sign. The case we are reporting is a 47 years old diabetic, chronic renal failure patient on regular hemodialysis who had a fulminant emphysematous infection in the left testis, epididymis, spermatic cord, the prostate, seminal vesicles, and the scrotum. Emergency orchiectomy has been carried out. The most significant part of the case is the pictures showing ballooning scrotum and gas bubbles in abnormal anatomical locations.
Highlights
Emphysematous infection of the male genitalia is exceedingly rare
This type of infection is caused by gas-forming microbes such as E. coli, Klebsiella, pseudomonas, or fungi
When we opened the tunica albuginea, we found no much of recognized testicular tissues, as they have been eaten up by the aggressive infection
Summary
Emphysematous infection of the male genitalia is exceedingly rare. Only six cases have been reported, one of which had seminal vesicles involvement. We are reporting the second case in the literature that has seminal vesicles involvement. This type of infection is caused by gas-forming microbes such as E. coli, Klebsiella, pseudomonas, or fungi. Case report A 47-year-old man presented to the emergency department complaining of scrotal pain, scrotal wall maceration with crepitation, and high fever (38.4 C) for two days. Upon presentation, he was in septic shock with leukocytosis, anemia, and high blood sugar. A follow-up CT in a month showed the disappearance of the gas bubbles from the scrotum, seminal vesicle, and prostate. Public Domain Dedication waiver (https://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
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