Case contributed by RMH Core Conditions


Right scrotal pain.

Patient Data

Age: 69
Gender: Male

The right testis measures 5 x 3 x 3 cm. the testis is diffusely hypoechoic with heterogeneous echotexture and increased internal vascularity consistent with history of orchitis.

The right epididymal head demonstrates increased vascularity when compared to the left.

A large septated right sided scrotal collection is seen measuring 7 x 4 x 5 cm in diameter. It is predominantly anechoic with internal septations.

The left testis measures 5 x 4 x 3 cm. It demonstrates normal echotexture and echogenicity, with no focal lesions seen. The left epididymis is normal, with a small epididymal cyst. A small left sided hydrocele is noted.


  1. Right sided epididymo-orchitis, with a large septated hydrocele. No evidence of abscess formation or testicular infarction.
  2. Small left sided hydrocele. The left testis is normal.

Case Discussion

Orchitis is a common cause of acute scrotal pain, much more than testicular torsion. 

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Case information

rID: 38027
Published: 1st Jul 2015
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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