Funiculitis

Case contributed by Tarek Moustafa Essam Daoud
Diagnosis almost certain

Presentation

Pain and inguinal swelling

Patient Data

Age: 55 years
Gender: Male
ultrasound
Longitudinal
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Info

Both spermatic cords are bulky with significant contour irregularities, markedly increased vascularity, and markedly echogenic intervening fat planes.

Bilateral hydroceles showing a few septations.

This picture is consistent with inflammation of the spermatic cord (funiculitis).

Case Discussion

Funiculitis is inflammation of the spermatic cord. It is usually an infective bacterial process.

This patient had a history of urinary catheter insertion for 14 days, which could be the source of this infection.

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