ULTRASONOGRAPHY



ECHOGRAPHIE



cases
cas


Retroperiton

 
Goubaa Mohamed MD Djerba Tunisia

English Français
--- Arabic
This 14-year-old male patient has had right testicular pain and swelling for 2 days. An ultrasound examination was performed. Ce jeune de 14 ans et de sexe masculin avait des douleurs et un gonflement testiculaire depuis deux jours. Un examen échographique a été réalisé.

 


epididymis ultrasonography epididymitis


épididymite échographie épididyme


orchitis orchi-epididymitis ultrasound


echographie scrotum ultrasonography


goubaa image


Doppler testicle epididymis
Click on the image below
Cliquez sur les images en bas

 

image
Sagittal gray-scale and power Doppler views show an enlarged head of the epididymis adjacent to the right testis. Marked hyperemia of the epididymis is evident on power Doppler and ultrasonography views of the epididymis show a slightly enlarged epididymis with intense hypervascularity on the color Doppler view. The findings are consistent with acute epididymitis. Les vues sagittales à l'échelle de gris et au Doppler couleur et de puissance montrent une tête épididymaire agrandie à côté du testicule droit. L'hyperhémie marquée de l'épididyme est évidente au Doppler et les images échographique de l'épididyme montrent un épididyme plus large que d'habitude avec une hyper-vascularisation intense au Doppler de couleur. Le diagnostic d'épididymite aigu est évident.

 

 

 
Acute epididymitis
Epididymite aiguë

 


Epididymitis

Français
cliquez ici

Arabic

Epididymitis is the commonest intra-scrotal inflammation.
Epididymitis accounts for 75% to 80% of acute inflammatory disease of the scrotum. Swelling and sonographic epididymal abnormalities, skin thickening, and hydrocele are more suggestive of an infectious process than of tumor. Patients have pain for at least 2 days and may have a discharge.
Epididymitis may be acute or chronic and related to infection or trauma.
The most frequent cause of epididymitis is a bacterial infection (nonspecific germ : frequently the chlamydia or specific : gonorrhea or syphilis). This infection is usually from an urinary tract infection.

Ultrasonography :
Sonographic appearances are variable depending upon the stage and severity of the disease. The epididymus is usually enlarged and hypoechoic, but it may be intensely echogenic. Colour Doppler imaging shows hypervascularity within the epididymus.
In uncomplicated cases of epididymitis the testicle is usually not involved though there may be hypoechoic foci in the testicular parenchyme adjacent to the epididymus. With advanced epididymitis, small abscesses are occasionally seen as complex hypoechoic collections in the epididymis.
In chronic epididymitis, the epididymus is thickened and focally echogenic and may have calcifications.
In tuberculous epididymitis, the epididymus may become heterogeneous and hypoechoic associated with concomitant hypoechoic lesions in the testis and a discharging sinus. The testis may become stony hard associated with extra-testicular calcification.
Orchitis usually occurs in conjunction with epididymitis. Isolated orchitis is less common and generally is viral. Testicular enlargement, decreased echogenicity, and hypervascularity are ail typical findings As with epididymitis, hypervascularity may be the only abnormal finding, so color Doppler analysis is more sensitive in the diagnosis of orchitis than is gray-scale sonography alone.

Differential :
Sperm granulome.
Scrotal hernia.
Torsed appendix testis.
Benign solid tumors of the epididymus.
Fibrous pseudo-tumor of the epididymus.
Fournier's gangrene.
Lipoma or fibrolipoma of the spermatic cord.
Papillary cystadenoma of the epididymus.
Paratesticular rhabdomyosarcoma, leiomyosarcoma and other extratesticular malignant tumors.
Metastatic tumor of the tunica vaginalis.

 

 
 
© MedicalECHO.net
© MedicalSONO.net

ultrasonography echography ultrasound sonography échographie echographie ultrasonographie ultrason us doppler color couleur energies énergie radiology radiologie scan film cliché body probe sonde endovaginal endovaginale transvaginal endorectal endorectale abdominal gynécologie gynecology gynecologie obstétrique obstetrique obstetric accouchement delivery birth médecine medecine medicine pédiatrie pediatrics pregnancy grossesse fetus foetus Fœtus fetuses Uterus Utérus ovary ovaire cervix col brest sein mammaire placenta liver foie gallbladder vesicule vésicule pancreas pancréas spleen rate Intestine colon grele grêle appendix appendice appendicitis appendicite stomach estomac proctology proctologie rectum thyroide thyroïde adrenal surrenale surrénale kidney rein bladder vessie prostate urology urologie testicle testicule scrotum heart cardiology coeur cœur cardiologie lung poumon plèvre pleura salivary salivaire vasculaire orl vascular peritonea peritoine péritoine peritoneal adénopthie adénopathie adenopathy brain cerveau neurologie neurology Skeleton muscle squelette articulation cancer carcinoma carcinome tumor tumeur maligne malignant malin benign bénin maladie diseases gastrology gastrologie kyste cyst.