Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain


The patient presented painful scrotal swelling with, fever, burning micturition, since 2 days no history of urethral discharge no history of STDs or trauma. On the local examination: there is swelling at the left testis, tenderness, redness, hotness, and skin changes.

Patient Data

Age: 45 years
Gender: Male
  • The examined testicle appears, mildly swollen
  • On Doppler interrogation; the testicle shows increased flow signals compared to the contralateral side.
  • The left epididymis appears swollen, thickened & enlarged in size with heterogenous texture & increased vascularity on color Doppler.

Case Discussion

  • The testicular USG demonstrates increased vascularity in the left testis and epididymis in keeping with epididymo-orchitis. 
  • Left-sided septated hydrocele and a small left epididymal head cyst of 4.5mm are seen.

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