결핵성 부고환염의 고환 침범 : 초음파 소견

Abstract

PURPOSE : To report the sonographic findings of testicular involvement of tuberculous epididymitis. MATERIAL &METHODS : The sonographic findings of testicular involvement in twelve patients with histologically proventuberculous epididymitis were retrospectively reviewed. RESULTS : The sonographic findings of testicular lesionsare 1) an ill defined hypoechoic lesion (3 cases, 25.0%), 2) a well-demarcated hypoechoic lesion (3 cases, 25.0%),3) multiple and small hypoechoic nodules in the enlarged testis (2 cases, 16.7%), 4) indistinct margin between thetestis and epididymis (2 cases, 16.7%) and 5) a diffusely enlarged testis with hypoechogenicity (2 cases, 16.7%).Nine patients had ipsilateral epididymitis, and 3 patients had bilateral epididymitis. Pus discharge through thedraining sinus tract was noted in 4 cases (33.3%), and hydrocele in 8 cases (66.7%). No parenchymal calcificationwas seen in the involved testis. CONCLUSION : Sonographic findings of testicular involvement in tuberculousepididymitis were various.