Presentation
Follow-up ultrasound of the scrotum performed 8 days after the diagnosis of left epididymitis and a simple hydrocele on ultrasound.
Patient Data
Age: 70 years
Gender: Male
From the case:
Testicular abscess and pyocoele
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Left testicle:
- left testicular abscess measuring 2.3 x 1.6 x 1.9 cm
- left testis measures 5.0 x 3.5 x 3.2 cm, larger than the right (4.7 x 3.1 x 2.1 cm)
- left testis and epididymis are hyperemic, consistent with epididymo-orchitis
- scrotal free fluid with heterogeneous echogenicity and septa, consistent with pyocoele
Right testicle:
- 3 mm cyst in the right testis
- normal vascularity
- small hydrocoele
Case Discussion
The patient clinically improved after conservative management with antibiotics, and a repeat ultrasound eight days later showed a slight reduction in the size of the testicular abscess and a more liquefied less complex appearance, consistent with gradual resolution.