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Orchidectomy and partial scrotectomy were performed during surgical exploration for management of the non-viable testis and associated scrotal sinus. Clinical vigilance is important to prevent this complication by close clinical follow up with ultrasonography and even early surgical decompression to prevent testicular loss.<\/jats:p>","DOI":"10.1136\/bcr-2021-247028","type":"journal-article","created":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T11:23:27Z","timestamp":1646393007000},"page":"e247028","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Testicular infarction and spontaneous scrotal rupture secondary to acute epididymo-orchitis"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7400-5646","authenticated-orcid":false,"given":"Fang","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Urology, Northern Hospital Epping, Epping, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jada","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Department of Urology, Northern Hospital Epping, Epping, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Moir","sequence":"additional","affiliation":[{"name":"Department of Anatomical Pathology, Alfred Health, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Gyomber","sequence":"additional","affiliation":[{"name":"Department of Urology, Northern Hospital Epping, Epping, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"2025082623500211000_15.3.e247028.1","doi-asserted-by":"crossref","first-page":"148","DOI":"10.5489\/cuaj.2174","article-title":"Testicular loss following bacterial epididymo-orchitis: case report and literature review","volume":"9","author":"Fehily","year":"2015","journal-title":"Can Urol Assoc J"},{"key":"2025082623500211000_15.3.e247028.2","doi-asserted-by":"crossref","first-page":"175","DOI":"10.7863\/jum.2013.32.1.175","article-title":"Global testicular infarction in the presence of epididymitis: clinical features, appearances on grayscale, color Doppler, and contrast-enhanced sonography, and histologic correlation","volume":"32","author":"Yusuf","year":"2013","journal-title":"J Ultrasound Med"},{"key":"2025082623500211000_15.3.e247028.3","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.radcr.2020.01.001","article-title":"Complete testicular infarction secondary to epididymoorchitis and pyocele","volume":"15","author":"Ramjit","year":"2020","journal-title":"Radiol Case Rep"},{"key":"2025082623500211000_15.3.e247028.4","first-page":"583","article-title":"Epididymitis and orchitis: an overview","volume":"79","author":"Trojian","year":"2009","journal-title":"Am Fam Physician"},{"key":"2025082623500211000_15.3.e247028.5","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2020-054473"},{"key":"2025082623500211000_15.3.e247028.6","unstructured":"Epididymo-orchitis. 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