Epididymo-orchitis

Case contributed by Guilherme Pioli Resende
Diagnosis certain

Presentation

Patient referred from the urological emergency complaining of pain in the right testicle for 5 days.

Patient Data

Age: 55 years
Gender: Male

Scrotum

ultrasound

Thickened right epididymis, showing increased echogenicity and vascularity, associated with multiple cystic images of anechoic content in the tail region. Right testicle of enlarged dimensions heterogeneous echogenicity, and diffuse increase in its vascularization.

Case Discussion

Clinically, the patient had pain on examination of the testicular pouch with edema and local flushing. Refers sexual activity without using a condom.

Contributed by Dr. Hemilianna Hadassa Silva Matozinho M.D., Dr. Rebecca Carolina Silva Lins M.D., and Dr. Arthur Ataide Lopes M.D.

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