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Epididymal abscesses

Case contributed by Dr Yair Glick

Presentation

Swollen, erythematous left hemiscrotum.

Patient Data

Age: 80 years
Gender: Male
Ultrasound

The scrotal skin is thickened bilaterally.
The testes are of normal size and echotexture.
Right testis shows normal blood flow, left testis is hyperemic.
Right epididymis appears normal. Tiny cyst between the epididymal head and the testes - likely, an epididymal cyst.
Left epididymis is thickened and hyperemic, particularly its tail. A focus of mixed echogenicity and several smaller hypoechoic foci In the epididymal tail, all demonstrating a lack of internal flow - most compatible with abscesses.
Left septated hydrocele of moderate amount.

Case Discussion

The sonographic findings are compatible with left epididymo-orchitis. The foci in the epididymal tail likely represent small abscesses.
Left moderate hydrocele with septations, either representing a pyocele or postinflammatory.

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Case information

rID: 73647
Published: 17th Jan 2020
Last edited: 17th Jan 2020
System: Urogenital
Inclusion in quiz mode: Included
Institution: Laniado Hospital

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