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Published on: December 12, 2025
Imaging in emphysematous epididymo-orchitis: A rare cause of acute scrotum
Anitha Mandava1, R Prabhakar Rao1, D Anjani Kumar2
1Department of Radiodiagnosis, Central Hospital, Lalaguda, South Central Railway, Secunderabad, Andhra Pradesh, India.
Abstract:
Emphysematous epididymo-orchitis is an uncommon, acute inflammatory process of epididymis and testis characterized by the presence of air within the tissue. Patient presents with fever, acute pain, swelling and tenderness in the scrotum. Imaging is needed for rapid accurate diagnosis and to differentiate it from other causes of acute scrotum such as testicular torsion. We report a case of emphysematous epididymo-orchitis with imaging findings on plain radiography, ultrasound, CT and MRI and a brief review of the literature.
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