Pediatric intratesticular abscess managed with a testicular sparing approach: A case report

Intratesticular abscess is a rare finding associated with advanced or untreated epididymo-orchitis, often in immunocompromised patients. Implicated pathogens can be spread hematogenously, by urine reflux in dysfunctional voiders, through aberrant mesonephric duct anatomy, or via a patent processus vaginalis in the setting of an intra-abdominal infection. A testicular-sparing surgical approach is often used in prepubertal populations and is associated with positive outcomes. We present the case of a 6-year-old male with a polymicrobial intratesticular abscess that was successfully managed with antibiotics, operative incision and drainage of abscess cavity, and primary wound closure with drain placement. •Testicular abscesses may occur in healthy patients with advanced epididymo-orchitis.•Testicular abscesses are often polymicrobial; cover for aerobic and anaerobic organisms.•Use a testicular-sparing approach in intratesticular abscess in the pediatric population.