A man’s testicle protruded from his scrotum due to a rare complication of Covid-19

Since the start of the pandemic, we have seen all kinds of complications caused by Covid-19. These symptoms, often unpredictable, generally depend on the state of health of each patient. This sometimes leads to the appearance of quite unusual cases, such as what happened to this 72-year-old man.

We can say that what the man has experienced is one of the rare cases. He went to a urology clinic for a scrotal prolapse. For 6 months, the patient had presented sores and ulcers on his scrotum, but what he did not know was that these injuries would eventually cause his testicle to appear.

According to reports, the man’s recent Covid-19 infection may have contributed to the development of his illness.

An unexpected complication

Doctors who examined the 72-year-old patient diagnosed him with Pyoderma gangrenosum (PG). This rare disease is believed to be an immune system disorder that causes ulcerative lesions to develop on the skin. The patient thus benefited from treatment with prednisone.

However, shortly after the biopsy and before starting his treatment, the two lesions in the scrotum merged to form a large ulcer, which resulted in a prolapse of the left testicle which was still covered with tissue.

After hospitalization caused by worsening congestive heart failure, the scrotal lesion grew to such an extent that the testicle began to be exposed, eventually protruding from the scrotum.

Faced with this, doctors put in loose stitches to prevent the contents of the scrotum from prolapse. After putting the testicle back in place, the medical team closed the wound. Five months after the patient was discharged from the hospital, the wound finally healed.

A consequence of Covid-19

According to the medical team, PG is a difficult disease to identify due to a lack of well-defined criteria. Moreover, it is often considered as a diagnosis of exclusion. Indeed, the biological assessments and the biopsy are mainly carried out to exclude other cutaneous ulcerative disorders.

The various examinations showed that the patient did not suffer from any systemic disease, but his recent infection with Covid-19 probably contributed to the development of PG. Moreover, previous studies have shown that Covid-19 can cause various immunological alterations at the origin of certain autoinflammatory diseases such as PG.


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