Tags

Type your tag names separated by a space and hit enter

Granulomatous epididymo-orchitis: sonographic features and clinical outcome in brucellosis, tuberculosis and idiopathic granulomatous epididymo-orchitis.
J Urol. 1998 Jun; 159(6):1954-7.JU

Abstract

PURPOSE

We reviewed and analyzed sonographic findings in granulomatous epididymo-orchitis in an attempt to differentiate this rare inflammatory entity from other causes of enlarged scrotum, such as tumors.

MATERIALS AND METHODS

We retrospectively reviewed sonographic features of 9 patients a mean of 41 years old with specific and nonspecific granulomatous epididymo-orchitis, including brucellosis in 7, tuberculosis in 1 and idiopathic granulomatous epididymo-orchitis in 1. Histological confirmation was obtained in 3 cases, and in the remaining 6 positive clinical manifestations and laboratory tests for brucellosis were accepted as the main criteria for the diagnosis of brucellar epididymo-orchitis.

RESULTS

The most notable echographic finding was an enlarged and heterogeneous epididymis, predominantly in the body and tail. Testicular involvement consisted of a diffusely hypoechoic testis or focal intratesticular areas. Thickening of the scrotal wall and tunica albuginea, and moderate hydrocele were also noted occasionally. Followup scans revealed intratesticular abscesses in 3 patients.

CONCLUSIONS

These echographic findings may suggest the diagnosis of granulomatous epididymo-orchitis in the appropriate clinical setting, and help to avoid unnecessary orchiectomy for benign disease.

Authors+Show Affiliations

Hospital Príncipe de Asturias, Alcalá de Henares, Albacete, Spain.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9598496

Citation

Salmeron, I, et al. "Granulomatous Epididymo-orchitis: Sonographic Features and Clinical Outcome in Brucellosis, Tuberculosis and Idiopathic Granulomatous Epididymo-orchitis." The Journal of Urology, vol. 159, no. 6, 1998, pp. 1954-7.
Salmeron I, Ramirez-Escobar MA, Puertas F, et al. Granulomatous epididymo-orchitis: sonographic features and clinical outcome in brucellosis, tuberculosis and idiopathic granulomatous epididymo-orchitis. J Urol. 1998;159(6):1954-7.
Salmeron, I., Ramirez-Escobar, M. A., Puertas, F., Marcos, R., Garcia-Marcos, F., & Sanchez, R. (1998). Granulomatous epididymo-orchitis: sonographic features and clinical outcome in brucellosis, tuberculosis and idiopathic granulomatous epididymo-orchitis. The Journal of Urology, 159(6), 1954-7.
Salmeron I, et al. Granulomatous Epididymo-orchitis: Sonographic Features and Clinical Outcome in Brucellosis, Tuberculosis and Idiopathic Granulomatous Epididymo-orchitis. J Urol. 1998;159(6):1954-7. PubMed PMID: 9598496.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Granulomatous epididymo-orchitis: sonographic features and clinical outcome in brucellosis, tuberculosis and idiopathic granulomatous epididymo-orchitis. AU - Salmeron,I, AU - Ramirez-Escobar,M A, AU - Puertas,F, AU - Marcos,R, AU - Garcia-Marcos,F, AU - Sanchez,R, PY - 1998/5/23/pubmed PY - 1998/5/23/medline PY - 1998/5/23/entrez SP - 1954 EP - 7 JF - The Journal of urology JO - J Urol VL - 159 IS - 6 N2 - PURPOSE: We reviewed and analyzed sonographic findings in granulomatous epididymo-orchitis in an attempt to differentiate this rare inflammatory entity from other causes of enlarged scrotum, such as tumors. MATERIALS AND METHODS: We retrospectively reviewed sonographic features of 9 patients a mean of 41 years old with specific and nonspecific granulomatous epididymo-orchitis, including brucellosis in 7, tuberculosis in 1 and idiopathic granulomatous epididymo-orchitis in 1. Histological confirmation was obtained in 3 cases, and in the remaining 6 positive clinical manifestations and laboratory tests for brucellosis were accepted as the main criteria for the diagnosis of brucellar epididymo-orchitis. RESULTS: The most notable echographic finding was an enlarged and heterogeneous epididymis, predominantly in the body and tail. Testicular involvement consisted of a diffusely hypoechoic testis or focal intratesticular areas. Thickening of the scrotal wall and tunica albuginea, and moderate hydrocele were also noted occasionally. Followup scans revealed intratesticular abscesses in 3 patients. CONCLUSIONS: These echographic findings may suggest the diagnosis of granulomatous epididymo-orchitis in the appropriate clinical setting, and help to avoid unnecessary orchiectomy for benign disease. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/9598496/Granulomatous_epididymo_orchitis:_sonographic_features_and_clinical_outcome_in_brucellosis_tuberculosis_and_idiopathic_granulomatous_epididymo_orchitis_ L2 - https://www.jurology.com/doi/10.1016/s0022-5347(01)63206-3?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -