Presentation
Right testicular pain, swelling, tenderness and fever since 6 weeks. The patient is presenting now with mild rigors, anorexia and some weight loss.
Patient Data
Age: 50 years
Gender: Male
From the case:
Necrotizing epididymo-orchitis with intra-testicular abscess
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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 edematous 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.
Case Discussion
The above described findings are those of necrotizing epididymo-orchitis with intra-testicular abscess as well as epididymal head small abscess and acute funiculitis.