Scrotal infections

A free gallery of high-resolution, ultrasound, color doppler and 3D images

1) Filariasis of scrotum:

These sonographic images of the scrotum of a 65 yr. old male patient known to have filariasis reveal a markedly thickened scrotal wall. The testes itself appears normal. Multiple, hypoechoic tubular channels are seen in the scrotum. These ultrasound images suggest lymphedema of the scrotal wall following filariasis. Images taken using a Toshiba Nemio 30 color doppler machine, courtesy of Dr. Jaydeep Gandhi, Mumbai, India.

Reference:

1) http://www.jultrasoundmed.org/cgi/reprint/22/8/765 (excellent free article and images)

2) Filariasis article (free article)

2) Testicular abscess:

A case of abscess of the right testes:

This middle aged male patient had a history of drainage of scrotal abscess a few months back. he now presented with discharge, pain and swelling of the right half of the scrotum. Sonography of the scrotum revealed: a) a hypoechoic (almost cystic) lesion with shaggy walls within the right testes with b) another similar lesion extending from the first lesion. c) Color Doppler imaging/ and Power Doppler imaging confirm marked increase in vascularity around both lesions suggesting marked hyperemia and severe right orchitis. These ultrasound images are diagnostic of testicular abscess (right) with extension outside the testes. The left testes also shows evidence of mild orchitis.

Ultrasound images taken by Joe Antony, MD, India, using a Toshiba Nemio - XG Color Doppler machine.

3) Pyocele with orchitis:

This patient presented with swollen scrotum with marked tenderness on the right testes. Ultrasound images show inhomogenous echotexture of the right testes with hypoechoic areas seen in lower part. Color Doppler and Power Doppler images show markedly increased vascularity in the right testes with moderate vascularity in the left testes. There is a large fluid collection around the right testes with multiple fibrous septae within the fluid s/o infected hydrocele (pyocele). These ultrasound and color Doppler images are diagnostic of Bilateral orchitis with pyocele on right side. Ultrasound images by Dr. Joe Antony, MD, India. These images were taken using a Nemio-XG Color Doppler system (Toshiba).

See a nice article on differential diagnosis of swelling of the scrotum: http://www.squidoo.com/scrotum

Reference: http://radiology.rsnajnls.org/cgi/content/full/227/1/18 (free article and images.. excellent article).

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This page was last edited on: Thursday December 17, 2009 03:41 PM

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