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Sonographic findings in tuberculous epididymitis and epididymo-orchitis.
J Clin Ultrasound. 1997 Sep; 25(7):390-4.JC

Abstract

PURPOSE

This paper presents the sonographic findings in scrotums of patients affected with tuberculous epididymitis or epididymo-orchitis.

METHODS

Eighteen patients with a total of 22 abnormal hemiscrotums (4 patients had bilateral lesions) underwent scrotal sonography. Pathologic confirmation was obtained via epididymectomy in 10 cases, epididymo-orchiectomy in 7 cases, and scrotal exploration and biopsy in 3 cases. The histopathologic diagnosis was tuberculous epididymitis in 12 cases and epididymo-orchitis in 8 cases.

RESULTS

Lesions involved the head of the epididymis in 8 cases, the tail in 5 cases, and the entire epididymis in 9 cases. The enlarged epididymis was hypoechoic in 13 cases, hyperechoic in 2 cases, and of mixed echogenicity in 7 cases. The echotexture was heterogeneous in 17 cases and homogeneous in 5 cases. Testicular involvement in 7 cases appeared as a diffusely enlarged hypoechoic testis in 2 cases, an ill-defined hypoechoic lesion in 1 case, a well-demarcated hypoechoic lesion in 2 cases, and multiple small hypoechoic nodules in an enlarged testis in 2 cases. Hydrocele, sinus tract, and extratesticular calcifications were seen in 12, 4, and 2 cases, respectively.

CONCLUSIONS

The heterogeneous and hypoechoic swelling of the epididymis or the concomitant hypoechoic lesion of the testis with associated sinus tract or extratesticular calcifications may be helpful in the diagnosis of tuberculous epididymitis or epididymo-orchitis, especially in patients with known genitourinary tuberculosis.

Authors+Show Affiliations

Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9282805

Citation

Chung, J J., et al. "Sonographic Findings in Tuberculous Epididymitis and Epididymo-orchitis." Journal of Clinical Ultrasound : JCU, vol. 25, no. 7, 1997, pp. 390-4.
Chung JJ, Kim MJ, Lee T, et al. Sonographic findings in tuberculous epididymitis and epididymo-orchitis. J Clin Ultrasound. 1997;25(7):390-4.
Chung, J. J., Kim, M. J., Lee, T., Yoo, H. S., & Lee, J. T. (1997). Sonographic findings in tuberculous epididymitis and epididymo-orchitis. Journal of Clinical Ultrasound : JCU, 25(7), 390-4.
Chung JJ, et al. Sonographic Findings in Tuberculous Epididymitis and Epididymo-orchitis. J Clin Ultrasound. 1997;25(7):390-4. PubMed PMID: 9282805.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sonographic findings in tuberculous epididymitis and epididymo-orchitis. AU - Chung,J J, AU - Kim,M J, AU - Lee,T, AU - Yoo,H S, AU - Lee,J T, PY - 1997/9/1/pubmed PY - 2000/6/20/medline PY - 1997/9/1/entrez SP - 390 EP - 4 JF - Journal of clinical ultrasound : JCU JO - J Clin Ultrasound VL - 25 IS - 7 N2 - PURPOSE: This paper presents the sonographic findings in scrotums of patients affected with tuberculous epididymitis or epididymo-orchitis. METHODS: Eighteen patients with a total of 22 abnormal hemiscrotums (4 patients had bilateral lesions) underwent scrotal sonography. Pathologic confirmation was obtained via epididymectomy in 10 cases, epididymo-orchiectomy in 7 cases, and scrotal exploration and biopsy in 3 cases. The histopathologic diagnosis was tuberculous epididymitis in 12 cases and epididymo-orchitis in 8 cases. RESULTS: Lesions involved the head of the epididymis in 8 cases, the tail in 5 cases, and the entire epididymis in 9 cases. The enlarged epididymis was hypoechoic in 13 cases, hyperechoic in 2 cases, and of mixed echogenicity in 7 cases. The echotexture was heterogeneous in 17 cases and homogeneous in 5 cases. Testicular involvement in 7 cases appeared as a diffusely enlarged hypoechoic testis in 2 cases, an ill-defined hypoechoic lesion in 1 case, a well-demarcated hypoechoic lesion in 2 cases, and multiple small hypoechoic nodules in an enlarged testis in 2 cases. Hydrocele, sinus tract, and extratesticular calcifications were seen in 12, 4, and 2 cases, respectively. CONCLUSIONS: The heterogeneous and hypoechoic swelling of the epididymis or the concomitant hypoechoic lesion of the testis with associated sinus tract or extratesticular calcifications may be helpful in the diagnosis of tuberculous epididymitis or epididymo-orchitis, especially in patients with known genitourinary tuberculosis. SN - 0091-2751 UR - https://www.unboundmedicine.com/medline/citation/9282805/Sonographic_findings_in_tuberculous_epididymitis_and_epididymo_orchitis_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0091-2751&date=1997&volume=25&issue=7&spage=390 DB - PRIME DP - Unbound Medicine ER -