A 5-year-old male Shih-Tzu dog was referred with the primary complaint of scrotal swelling after surgery of urethrotomy 1 week ago. A diagnosis of the patient was made based on history taking, physical examination, laboratory examination, radiography, and ultrasonography. In the blood analysis, increase of leukocyte was seen. And there were enlarged and heterogeneous parenchyma of right testis in ultrasonic evaluation. The case was diagnosed as periorchiepididymitis and followed by treatment with bilateral orchiectomy and postoperative antibacterial agents. And conditions of patient were good.