Svær sjælden komplikation til epididymitis

  • Larshan Perinpam Herning Akutafdeling, Departments of Clinical Medicine, Research Center for Emergency Medicine Aarhus, Denmark
  • Poul Petersen Akutafdelingen Herning
  • Tommy Andersson Akutafdelingen Herning
  • Anders Moellekaer Akutafdelingen Herning, Departments of Clinical Medicine, Research Center for Emergency Medicine Aarhus, Denmark
Nøgleord: absces, Epididymitis, ultralyd, akutmodtagelsen, sepsis, komplikation

Resumé

Severe rare complication to epididymitis
Epididymitis is a common disease in the emergency department, but an abscess as a complication is rare. This case report describes an 82-year-old man, who suffered from a rare and severe complication from epididymitis after prescription of antibiotics. Ultrasound was the key to diagnose the abscess easy and fast in the emergency department. The patients were scheduled for an emergency surgical incision and drainage. He was discharged 14 days later from the hospital without any complications. Epididymal abscesses are an uncommon complication of epididymitis seen in the emergency department. It is a very rare but potentially life-threatening complication to be aware of.   

Referencer

1. Thomsen A, Hansen ST, Lund L. [Benign scrotal diseases]. Ugeskr Laeger. 2018;180.

2. Slanetz PA, Whitman GJ, Chew FS. Epididymal abscess. AJR Am J Roentgenol. 1995;164:376. DOI: 10.2214/ajr.164.2.7839972

3. Farriol VG, Comella XP, Agromayor EG, Creixams XS, Martinez De La Torre IB. Gray-scale and power doppler sonographic appearances of acute inflammatory diseases of the scrotum. J Clin Ultrasound. 2000;28:67-72. DOI: 10.1002/(sici)1097-0096(200002)28:2<67::aid-jcu2>3.0.co;2-6

4. Nickel, J. Curtis; Beiko, Darren T. (2007). "Chapter 23:prostatitis, orchitis, and epididymitis". In Schrier, Robert W. (ed.). Diseases of the kidney and urinary tract. 1 (Eighth ed.). Philadelphia: Lippincott Williams & Wilkins. p. 645. ISBN 978-0-7817-9307-0
Publiceret
2020-12-03
Citation/Eksport
Perinpam, L., Petersen, P., Andersson, T., & Moellekaer, A. (2020). Svær sjælden komplikation til epididymitis. Dansk Tidsskrift for Akutmedicin, 3(1), 13-16. https://doi.org/10.7146/akut.v3i1.120027
Sektion
Case reports