Ultrasound
What are other causes of global testicular infarction?
Testicular torsion, iatrogenic (e.g inguinal hernia repair), trauma, vasculitis, sickle cell disease
The right testis is enlarged (21 cc) with a heterogenous echotexture. Multiple small hypoechoic foci in the inferior pole. No internal vascularity detected within the right testis. The right epididymis is hypervascular and enlarged. This is more pronounced at the tail. The right scrotal wall is thickened and hyperaemic on colour doppler assessment. The right testis is non-tender to transducer probe pressure. The left testis, epididymis and scrotal wall are unremarkable (not shown). Findings are consistent with right testicular infarction from right epididymitis and presumable orchitis.