Right Orchitis in a 30-year Old Male with a Coexisting Left Varicocoele Patient History A 30-year old male presented with an acute onset of right testicular pain. Case Description An ultrasound of the testes was performed using a 15 MHz linear transducer. Ultrasound revealed a hypoechoic and striated right testicle with evidence of hypervascularity on colour Doppler imaging. Appearances were in keeping with right orchitis. There was also evidence of dilatation of the left pampiniform plexus with a flow reversal of more than 2 seconds on spectral Doppler imaging. Appearances were suggestive of left varicocoele. Diagnosis/ Discussion/ Treatment/ Follow up The patient’s symptoms resolved after antibiotic therapy. Sonograms Grayscale image of the inflamed right testicle showing some hypoechoic striations across the testicular parenchyma in keeping with blood vessels Colour Doppler Imaging of the inflamed right testicle showing hypervascularity A dual-screen image of the right and left testes in colour Doppler mode. A normal left testicular vascularity can be seen Dilatation of the left pampiniform plexus veins Flow reversal on Valsalva manoeuvre for more than 2 seconds in the dilated left pampiniform plexus veins confirming varicocoele Published on: September 12, 2024
