Acute left epididymo-orchitis

Presentation

Acute and severe left testicular pain, associated with inflammatory signs that started 3 days ago.

Patient Data

Age: 35 years
Gender: Male
Ultrasound

Right testicle's ultrasound images are normal, whereas the left testicle presents with increased dimensions and slightly heterogeneous echogenicity, with a diffuse increase in its vascularization and thickening of the skin, besides a reactive hydrocele.

Case Discussion

Acute epididymo-orchitis is an acute inflammatory disease of both the epididymis and ipsilateral testis that usually presents unilaterally and occurs due to specific or nonspecific urinary tract infection. Treatment is imperative and should be started immediately after diagnosis and should include antibiotics, analgesics, and, if necessary, surgery.

Contributed by Dr. Guilherme Pioli Resende M.D., Dr. Rebecca Carolina Silva Lins M.D. and Dr. Arthur Ataide Lopes M.D.

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Case information

rID: 87868
Published: 19th Mar 2021
Last edited: 25th Mar 2021
System: Urogenital
Inclusion in quiz mode: Included
Institution: Hospital de Base do Distrito Federal (HBDF)

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