Description
The central feature here is a cavity containing purulent material, walled off from the rest of the
tissue by a rim of granulation tissue and fibrous tissue. The testis is compressed to a semi-lunar
shape, and there is obvious scarring in the head of the epididymis.
History
This man was admitted to hospital at the age of 77, with pain in his hip following a fall.
No fracture was demonstrated, but he was diabetic and had had a previous stroke. He had also a
carcinoma of the bladder. He stayed in hospital for some time and, while there, developed an
epididymo-orchitis, which led to the removal of the affected area. No organisms appear to have
been isolated from the lesion, and there was no histological evidence of tuberculosis.