ACUTE SCROTAL PAIN IN A YOUNG BOY


This was a 9-year-old boy , who was referred for evaluation of  acute right scrotal pain of 2 days onset. He had mild right scrotal swelling and severe pain . One of the best uses of colour Doppler is for evaluation of acute scrotal pain , when the surgeon wants to rule out acute torsion . The other common condition is acute inflammation , which is medically managed. The images with colour just tell the story .

Rt Testis has normal appearance , with enlargement of the right epididymis  . Colour flow imaging shows normal flow in the scrotum and increased flow in the epididymis , suggestive of acute inflammation – Acute Epididymitis. 

Mild hydrocele is also seen.

SCR  EPIDYMITIS_4

 

SCR  EPIDYMITIS_3

 

SCR  EPIDYMITIS_2

 

SCR  EPIDYMITIS_1

 

The images of the left testis are given below for comparison.

SCR  EPIDYMITIS_6

 

SCR  EPIDYMITIS_5

 

This was a case of acute epididymitis , without orchitis . In our part of the world filarial infestation leading to acute epididymitis is a common occurrence .

 

5 thoughts on “ACUTE SCROTAL PAIN IN A YOUNG BOY

  1. You saved his Testis.If u could have posted also a picture of Torsion it will register nicely in the Brain… Good work & back to business,,,

    Like

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