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Pelvis » Scrotum And Testicles
Acute left epididymitis
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Presentation A 25 year old male, presents with a one day history of acute left-sided scrotal pain. He has no history of trauma.
 
 
 
Caption: Transverse view of the epididymis on both sides.
Description: The left epididymal body and tail are enlarged and have a heterogeneously hypoechoic appearance. The right side is normal.
 
 
 
Caption: Comparative color Doppler view.
Description: The left epididymis is very hypervascular as compared to the right side, consistent with an inflammatory pathology.
 
 
 
Caption: Transverse color Doppler scan of the left scrotum
Description: The adjacent left testis shows a normal color flow. A very hypervascular epididymal body and tail region is noted again.
 
Differential Diagnosis Acute left epididymitis
 
Final Diagnosis Acute left epididymitis
 
Discussion A similar case has been discussed earlier. To view the discussion, click here .
 
Follow Up This patient was treated with antibiotics and the follow up ultrasound was normal.
 
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