Case contributed by Dr Mostafa El-Feky


Right scrotal pain since one week.

Patient Data

Age: 35 years
Gender: Male

Ultrasound scrotum

Mildly enlarged right epididymis with heterogenous hyperechoic echotexture. The right testis and epididymis showed increased vascularity surrounded by multiloculated scrotal hydrocele.

Normal size and texture of the left testis and epididymis with minimal hydrocele.

Bilateral scrotal pearls (scrotoliths) are noted.

Case Discussion

Epididymo-orchitis is a common cause of scrotal pain. It can occur at any age. It should be differentiated from testicular torsion and follow up may be required to assess possible, however rare, complications like abscess formation or testicular infarction. Treatment is usually conservative with an antibiotic course.

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Case information

rID: 52855
Published: 22nd Apr 2017
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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