An epididymitis with an unusual outcome

Paula Alquézar Yus^a, Jorge Brizuela Delgado^a, Myriam Salvá Arteaga^b, María de Pablo de las Heras^b, Patricia García Navas^b, M.ª Yolanda Ruiz del Prado^b

^aMIR-Pediatría. Hospital Universitario San Pedro. Logroño. La Rioja. España.
^bServicio de Pediatría. Hospital Universitario San Pedro. Logroño. La Rioja. España.

Correspondence: P Alquézar. E-mail: palquezar@riojasalud.es

Reference of this article: Alquézar Yus P, Brizuela Delgado J, Salvá Arteaga M, de Pablo de las Heras M, García Navas P, Ruiz del Prado MY. An epididymitis with an unusual outcome . Rev Pediatr Aten Primaria. 2025;27:273-6. https://doi.org/10.60147/b751ea08

Published in Internet: 03-09-2025 - Visits: 2557

Abstract

Pyocele is a rare but serious complication of scrotal infections in children, characterized by pus accumulation within the tunica vaginalis of the testicle. This condition may result from epididymitis that does not respond to initial anti-inflammatory treatment. We present the case of a 9-year-old boy with scrotal pain that progressed to pyocele after conservative management. Early detection and appropriate treatment are essential to avoid severe complications, such as testicular atrophy or infertility. This case emphasizes the importance of close clinical monitoring and a multidisciplinary approach.

Keywords

● Epididymitis ● Pyocele ● Scrotal complications ● Scrotal pain