To present the most common complications of orchitis-epididymitis and to describe the sonographic findings in each one of them in order to provide the patient with early and appropriate treatment.
Orchitis-epididymitis is an inflammation of the epididymis and/or testicle and is the most common acute scrotal pathology.
Acute epididymitis is usually the result of a descending infection caused by urinary tract pathogens.
In over 35 year olds the most frequent pathogens are Escherichia coli and Proteus mirabilis,
and in younger patients they are Chlamydia trachomatis and Neisseria gonorrhoea.
The association between epididymitis and orchitis is due to the direct spread of the infection (bacterial or viral) and it occurs in between 20 and 40 %...
Imaging findings OR Procedure details
All images are cases of Reina Sofia Hospital within the period stated in the job.
Orchitis-epididymitis is a common pathology which can lead to complications of varying severity,
even the loss of a testicle.
The knowledge of the sonographic signs of each one of these entities will allow us to establish an early and reliable diagnosis,
as well as the choice of adequate conservative or surgical treatment.
MD; Timothy S.
MD; and Diana Heiman.
Epididymitis and Orchitis: An Overview.
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2009 Apri 1; 79 (7): 583-587.
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Hernández Abad MJ. Utilidad de la ecografía doppler-color y la determinación de los índices de resistencia como indicadores precoces de infarto testicular secundario a orquiepididimitis.
Actas Urol Esp.
2000; 24 (1): 43-47.
Mack and Jhon N.