Bilateral Testicular Necrosis as a Serious Complication of Epididymal-Orchitis: Case Report and Literature Review

Epididymo-orchitis is generally a benign condition, but serious complications such as abscess and testicular necrosis may occur, although rarely. We describe the case of a 54-year-old man with scrotal pain and fever, whose physical examination and further investigations were consistent with bilateral epididymo-orchitis. Despite appropriate antibiotic therapy, his condition worsened, leading to scrotal abscess and bilateral testicular necrosis, necessitating bilateral orchiectomy. This case highlights the possibility of epididymo-orchitis progressing to extremely serious complications despite appropriate antibiotic therapy.