Tubular ectasia of rete testis

Case contributed by Dr J. Ray Ballinger

Presentation

Right epididymal pain.

Patient Data

Age: 74 years
Gender: Male
Ultrasound
Sagittal and transverse views shows a multi-cystic area in the posterior of the left testis in the region of the mediastinum. A varicocele is noted posterior to the testis on the transverse image. The third image shows a similar but somewhat smaller area in the right testis. Color doppler shows absence of blood flow in the multicystic region in the right testis.

Case Discussion

Tubular ectasia of the rete testes is a benign condition that is usually found bilaterally. It is commonly asymmetric as in this case and rarely unilateral. Absence of blood flow and its characteristic appearance and location is diagnostic. Tubular ectasia is frequently associated with spermatoceles and testicular cysts.

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Case information

rID: 23637
Case created: 29th Jun 2013
Last edited: 18th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

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