Necrotizing epididymo-orchitis with intra-testicular abscess
Right testicular pain, swelling, tenderness and fever since 6 weeks. The patient is presenting now with mild rigors, anorexia and some weight loss.
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- The right testicle is seen enlarged with an intra-testicular marginally enhancing 6.6 X 5.4 X 5.3 cm cystic lesion. The lesion shows heterogenous predominantly hypointense T1 and hyperintense T2 signal intensity.
- The right epididymis and the spermatic cord appear enlarged with heterogenous post-contrast enhancement as well as marginal enhancement of the epididymal head.
- The right scrotal skin is seen oedematous and thickened with mild post-contrast enhancement.
- Normal size and signal pattern of the left testicle with no intra-testicular mass lesion or abnormal signal.
- Normal left epididymis and spermatic cord.
- Mild left hydrocele is noted.
- Bilateral enlarged inguinal lymphadenopathy are noted with heterogenous post-contrast enhancement as well.
- Bilateral small oblique inguinal hernia with focal urinary bladder herniation into the right one.
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- 2- Parenti GC, Feletti F, Brandini F et-al. Imaging of the scrotum: role of MRI. Radiol Med. 2009;114 (3): 414-24. doi:10.1007/s11547-009-0377-7 - Pubmed citation
- 3- Muttarak M, Na Chiangmai W, Kitirattrakarn P. Necrotising epididymo-orchitis with scrotal abscess. Biomed Imaging Interv J. 2005;1 (2): e11. doi:10.2349/biij.1.2.e11 - Free text at pubmed - Pubmed citation