Acute Epididymitis and Reactive Hydrocele Following Trans-Femoral Access During Cardiac Catheterization in a Nigerian: A Case Report

Author(s): Olurotimi Badero, Bamikole Osibowale, Adebola Oluwabusayo Adetiloye, Adedeji Adebayo

Background: The use of invasive cardiac procedures has increased significantly in Nigeria since its first introduction in the country two decades ago. Increased procedural volume inadvertently leads to increased recognition of complications especially access site related ones even though the overall complication rates of cardiac catheterization remain low. Acute Epididymitis and reactive hydrocele are rare but significant complications following trans-femoral access during cardiac catheterization. The first case of such complication has now been identified in Nigeria. Awareness and prompt management of these complications are essential for preventing further morbidity.

Case Report: We report the case of a 79-year-old male who developed acute scrotal pain and swelling shortly after undergoing cardiac catheterization via trans-femoral access. Ultrasound examination revealed epididymitis and reactive hydrocele. The patient was treated with empirical antibiotics and anti-inflammatory medications, resulting in full recovery without long-term sequelae.

Conclusion: This case highlights the importance of recognizing and managing rare complications of cardiac catheterization. Early diagnosis and appropriate treatment are critical for ensuring favorable outcomes and minimizing morbidity in affected patients.