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Case contributed by Dr Fakhry Mahmoud Ebouda


Left scrotal pain and swelling since two weeks.

Patient Data

Age: 40 years
Gender: Male

The hallmark of epididymitis is enlarged hypervascular left epididymis.

The inflammatory process causes increased blood flow within the left epididymis.

Duplex analysis of the epididymal waveform shows a low-resistance pattern as compared with the normal pattern.

Case Discussion

Epididymitis is the most common inflammatory process affecting the scrotum in adults. No change in the adjacent testicular parenchyma to diagnose epididymo-orchitis.

The epididymal head is the most common involved part. An associated reactive hydrocele and wall thickening are present.

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Case information

rID: 28673
Published: 6th Apr 2014
Last edited: 15th Aug 2020
System: Urogenital
Inclusion in quiz mode: Included

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