Epididymo-orchitis Presenting as Painful Hemiscrotal Swelling
Clinical History
A 25-year old man presented with symptoms of swelling and pain in the left hemiscrotum. The patient was referred to have an inpatient ultrasound on the same day.
Case Description
Ultrasound revealed a bulky and heterogeneous left epididymis (epididymo-orchitis). The left testis and epididymis both showed evidence of a significantly increased vascularity within them. There was also some reactive hydrocoele in the left hemiscrotum with a heterogeneous collection adjacent to the left epididymis.
Diagnosis/ Discussion/ Treatment/ Follow up
The patient’s symptoms resolved after completing antibiotic therapy. A subsequent ultrasound post-treatment confirmed the resolution of symptoms.
Sonograms
