A Case Report: Epididymo-Orchitis with Partial Testicular Torsion

Acute scrotum is considered a urological emergency that sometimes requires immediate medical intervention. Prompt diagnosis is essential, as it can significantly reduce morbidity. A 26-year-old man came to the emergency room with sharp pain in his right testicle for 4 days. The pain was intermittent and was sometimes alleviated in the supine position. There was a history of fever, high-risk sexual intercourse, and purulent discharge from the urethra. The scrotal skin color looked normal, and examination of the right testicle revealed edema with severe tenderness on palpation. Prehn's sign was negative with a minimal cremasteric reflex. Ultrasound showed a hydrocele in the right testicle with hypervascularity. Doppler ultrasound confirmed a whirlpool sign in the right spermatic cord, suggesting partial testicular torsion. Right scrotal exploration was performed, and seropurulent fluid was found. Orchidopexy was performed on the right testicle. Acute scrotum is an emergency that needs to be diagnosed and treated promptly. This case emphasizes the importance of early recognition, timely intervention, and thorough assessment to differentiate the causes of acute scrotum.