Presentation
History of dysuria and enlargement of his left scrotum for about 2 months now. Local examination: bulging and tenderness of the left scrotum.
Patient Data
Age: 50 years
Gender: Male
From the case:
Epididymitis with abscess formation
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/116844/annotated_viewer_json?lang=us"}
The left epididymis appears thickened and hyperemic, with an adjacent hypoechoic area containing septations and internal echoes (suspected abscess).
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/117353/annotated_viewer_json?lang=us"}
The left epididymis appears thickened and hyperemic, with an adjacent hypoechoic area containing septations and internal echoes (suspected abscess).
Case Discussion
Differential diagnosis of testicular pain:
- epididymitis
- epididymo-orchitis
- orchitis
- funiculitis
- testicular torsion
- strangulated inguino-testicular hernia