Acute epididymo-orchitis complicated by outcomes of either testicular necrosis or complete recovery: Two case reports

The importance of serial Doppler ultrasonography: delayed follow-up imaging in this case allowed ischemic changes to progress irreversibly, despite initial Doppler findings showing increased perfusion. Early and repeated imaging is critical to monitor disease progression and guide timely interventions. Limitations of inflammatory markers: the disease worsened although the patient's leukocytosis and IL-6 levels improved markedly during treatment, highlighting that relying solely on blood tests is insufficient to determine treatment efficacy. Patient-specific risk stratification: high-risk individuals require more aggressive diagnostic and therapeutic protocols to prevent irreversible complications.