通常,急性附睾炎可完全消退,但某些病人发生合并症,导致睾丸切除。作者报道2例,由于睾丸梗塞而行睾丸切除术。病例报告例1,21岁男性,左侧睾丸持续疼痛、肿胀6周,他的保健医生诊断为附睾炎。在这前一天,他已经发生了一个溢液的阴囊窦道。第二天,他住进医院并行睾丸切除术。附睾的组织学检查显示,非特异性、亚急性炎症伴有纤维化和小脓肿;睾丸完全梗塞。 In general, acute epididymitis can completely disappear, but some patients with comorbidities, resulting in orchiectomy. The authors report 2 cases of orchidectomy due to testicular infarction. Case Report In a 1,2-year-old man, the left testicle continued to have pain and swelling for 6 weeks. His health care practitioner diagnosed epididymitis. The day before, he had had an overflow of the scrotum sinus. The next day, he was admitted to the hospital for orchidectomy. Histological examination of the epididymis showed nonspecific, subacute inflammation associated with fibrosis and small abscess; testicular complete infarction.