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Sonographic Findings in Tuberculous Epididymitis and Epididymo-orchitis

Authors
 Jae Joon Chung  ;  Myeong-Jin Kim  ;  Tack Lee  ;  Hyung Sik Yoo  ;  Jong Tae Lee 
Citation
 JOURNAL OF CLINICAL ULTRASOUND, Vol.25(7) : 390-394, 1997 
Journal Title
 JOURNAL OF CLINICAL ULTRASOUND 
ISSN
 0091-2751 
Issue Date
1997
MeSH
Adolescent ; Adult ; Diagnosis, Differential ; Epididymitis/complications ; Epididymitis/diagnostic imaging* ; Epididymitis/pathology ; Humans ; Male ; Middle Aged ; Orchitis/complications ; Orchitis/diagnostic imaging* ; Orchitis/pathology ; Retrospective Studies ; Sensitivity and Specificity ; Tuberculosis, Male Genital/complications ; Tuberculosis, Male Genital/diagnostic imaging* ; Tuberculosis, Male Genital/pathology ; Ultrasonography
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.
Full Text
https://onlinelibrary.wiley.com/doi/abs/10.1002/%28SICI%291097-0096%28199709%2925%3A7%3C390%3A%3AAID-JCU7%3E3.0.CO%3B2-5
DOI
10.1002/(sici)1097-0096(199709)25:7<390::aid-jcu7>3.0.co;2-5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Myeong Jin(김명진) ORCID logo https://orcid.org/0000-0001-7949-5402
Chung, Jae Joon(정재준) ORCID logo https://orcid.org/0000-0002-7447-1193
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177319
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