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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.

Links

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Authors+Show Affiliations

Salmeron I
Hospital Príncipe de Asturias, Alcalá de Henares, Albacete, Spain.
Ramirez-Escobar MA
No affiliation info available
Puertas F
No affiliation info available
Marcos R
No affiliation info available
Garcia-Marcos F
No affiliation info available
Sanchez R
No affiliation info available

MeSH

AdultBrucellosisEpididymitisGranulomaHumansMaleMiddle AgedOrchitisRetrospective StudiesScrotumTuberculosisUltrasonography

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 -