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Emphysematous epididymo-orchitis: An unusual case report
Akshat Agrawal1, Sudhansu Sekhar Mohanty1, Kamal Kumar Sen1
1Department of Radiodiagnosis, Kalinga Institute of Medical Sciences, Bhubaneswar, India.
Ultrasound (Leeds, England)
|September 27, 2021
Summary
Emphysematous epididymo-orchitis is rare in young, non-diabetic patients. Ultrasound is crucial for diagnosing this acute scrotum condition, even without comorbidities.
Area of Science:
- Urology
- Radiology
Background:
- Emphysematous epididymo-orchitis is an uncommon condition, particularly in young to middle-aged individuals without diabetes or metabolic disorders.
- This case highlights a rare presentation of emphysematous epididymo-orchitis in a young, non-diabetic patient.
Observation:
- The patient presented with symptoms suggestive of acute scrotum.
- Urinary tract infection was identified as a potential precursor to the condition.
Findings:
- Diagnostic imaging, specifically ultrasound, revealed the presence of air within the epididymis and testis.
- Ultrasound proved to be a reliable initial modality for detecting gas, indicative of emphysematous epididymo-orchitis.
Implications:
- Clinicians should consider emphysematous epididymo-orchitis in the differential diagnosis of acute scrotum, even in young, non-diabetic patients.
- Early diagnosis via ultrasound is critical for timely management and improved patient outcomes.
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