{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T21:47:10Z","timestamp":1773870430682,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute epididymo-orchitis (AEO) is an uncommon complication of colovesical fistula (CVF). We present the first documented case of a patient requiring emergency orchidectomy for recurrent AEO, complicated by intratesticular necrosis and a scrotal wall abscess, secondary to an undiagnosed diverticular CVF. Definitive management involved a laparoscopic high anterior resection, employing trans anal natural orifice specimen extraction, to cure the fistula. This case underscores the importance of maintaining a high index of suspicion for rare anatomical abnormalities such as CVF in patients presenting with recurrent bacterial AEO, across specialties for both the urologist and colorectal surgeon. Early and thorough investigation is crucial to avoid the severe complications of untreated diverticular disease\u2014particularly in individuals with significant intra-abdominal adiposity, where classic signs of peritoneal inflammation may be absent. Delayed diagnosis can lead to serious outcomes, including testicular loss and life-threatening sepsis.<\/jats:p>","DOI":"10.1093\/jscr\/rjag164","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T14:32:08Z","timestamp":1773844328000},"source":"Crossref","is-referenced-by-count":0,"title":["Emergency orchidectomy: a rare complication of diverticular colovesical fistula"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2639-7333","authenticated-orcid":false,"given":"Mashaal","family":"Hamayun","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Liverpool Hospital , Liverpool, NSW 2170 ,","place":["Australia"]},{"name":"Innovation, Surgical Teaching and Research Unit, Liverpool Hospital , Liverpool, NSW 2170 ,","place":["Australia"]},{"name":"Faculty of Medicine and Health, University of Sydney , Sydney, NSW 2006 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mina","family":"Sarofim","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Liverpool Hospital , Liverpool, NSW 2170 ,","place":["Australia"]},{"name":"Innovation, Surgical Teaching and Research Unit, Liverpool Hospital , Liverpool, NSW 2170 ,","place":["Australia"]},{"name":"Faculty of Medicine and Health, University of Sydney , Sydney, NSW 2006 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Gilmore","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Liverpool Hospital , Liverpool, NSW 2170 ,","place":["Australia"]},{"name":"School of Medicine, Western Sydney University , Penrith, NSW 2751 ,","place":["Australia"]},{"name":"Faculty of Medicine and Health Sciences, Macquarie University Hospital , Macquarie Park, NSW 2109 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"2026031810320215300_ref1","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1016\/j.mpmed.2014.03.012","article-title":"Acute epididymo-orchitis","volume":"42","author":"Street","year":"2014","journal-title":"Medicine"},{"key":"2026031810320215300_ref2","doi-asserted-by":"publisher","first-page":"2421","DOI":"10.1007\/s00345-023-04500-1","article-title":"Outcome of acute epididymo-orchitis: risk factors for testicular loss","volume":"41","author":"Norton","year":"2023","journal-title":"World J Urol"},{"key":"2026031810320215300_ref3","doi-asserted-by":"publisher","first-page":"100100","DOI":"10.1016\/j.sipas.2022.100100","article-title":"Colovesical fistula: a 28 year experience at a major United States department of veterans affairs medical center","volume":"11","author":"Keller-Biehl","year":"2022","journal-title":"Surg Pract Sci"},{"key":"2026031810320215300_ref4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2013\/617967","article-title":"Enterovesical fistulae: aetiology, imaging, and management","volume":"2013","author":"Golabek","year":"2013","journal-title":"Gastroenterol Res Pract"},{"key":"2026031810320215300_ref5","doi-asserted-by":"publisher","first-page":"E703","DOI":"10.1111\/ans.16751","article-title":"Complicated diverticular disease presenting as recurrent epididymo-orchitis: a case report","volume":"91","author":"Tay","year":"2021","journal-title":"ANZ J Surg"},{"key":"2026031810320215300_ref6","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1007\/s11845-007-0040-z","article-title":"Perforated retrocaecal appendix presenting as right lumbar abscess","volume":"176","author":"Fanning","year":"2007","journal-title":"Ir J Med Sci"},{"key":"2026031810320215300_ref7","doi-asserted-by":"publisher","first-page":"102281","DOI":"10.1016\/j.eucr.2022.102281","article-title":"Epididymo-orchitis secondary to colovesical fistula","volume":"45","author":"Waack","year":"2022","journal-title":"Urol Case Rep"},{"key":"2026031810320215300_ref8","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1016\/j.amjsurg.2004.08.016","article-title":"The spectrum of colovesical fistula and diagnostic paradigm","volume":"188","author":"Najjar","year":"2004","journal-title":"Am J Surg"},{"key":"2026031810320215300_ref9","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1111\/j.1463-1318.2005.00928.x","article-title":"Diagnosis and management of colovesical fistulae; six-year experience of 90 consecutive cases","volume":"8","author":"Garcea","year":"2006","journal-title":"Color Dis"},{"key":"2026031810320215300_ref10","doi-asserted-by":"publisher","first-page":"978","DOI":"10.1016\/j.juro.2009.05.022","article-title":"Diagnosis and surgical management of colovesical fistulas due to sigmoid diverticulitis","volume":"182","author":"Melchior","year":"2009","journal-title":"J Urol"},{"key":"2026031810320215300_ref11","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1111\/j.1463-1318.2005.00786.x","article-title":"Diagnosis and treatment of enterovesical fistulae","volume":"7","author":"Kavanagh","year":"2005","journal-title":"Color Dis"},{"key":"2026031810320215300_ref12","doi-asserted-by":"publisher","first-page":"4245","DOI":"10.1007\/s00464-025-11803-4","article-title":"Natural orifice specimen extraction for diverticular disease: technique, outcomes and role of inflammatory markers","volume":"39","author":"Sarofim","year":"2025","journal-title":"Surg Endosc"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag164\/67390855\/rjag164.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag164\/67390855\/rjag164.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T14:32:09Z","timestamp":1773844329000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag164\/8527707"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,6]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag164","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,3]]},"published":{"date-parts":[[2026,3]]},"article-number":"rjag164"}}