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Tuberculous epididymitis and epididymo-orchitis: sonographic findings
S H Kim1, H M Pollack, K S Cho
1Department of Radiology, Seoul National University College of Medicine, Korea.
The Journal of Urology
|July 1, 1993
Summary
Scrotal sonography can help differentiate tuberculous epididymitis from other causes. Key findings include enlarged, heterogeneous epididymis and potential testicular involvement (epididymo-orchitis).
Area of Science:
- Radiology
- Urology
- Infectious Diseases
Background:
- Epididymitis is a common scrotal inflammation.
- Tuberculous epididymitis presents diagnostic challenges.
- Distinguishing tuberculous from nontuberculous epididymitis is clinically important.
Purpose of the Study:
- To present scrotal sonography findings in tuberculous epididymitis.
- To compare sonographic features of tuberculous and nontuberculous epididymitis.
- To evaluate sonography's role in diagnosing epididymitis and associated testicular involvement.
Main Methods:
- Retrospective analysis of scrotal sonography in 12 patients.
- 10 patients diagnosed with tuberculous epididymitis.
- 2 patients diagnosed with nontuberculous epididymitis.
Main Results:
- Tuberculous epididymitis showed enlarged epididymis (tail predominant) and heterogeneous echo texture.
- Associated testicular involvement (epididymo-orchitis) presented as enlarged hypoechoic testes or focal hypoechoic areas.
- Sonographic findings differed significantly between tuberculous and nontuberculous epididymitis.
Conclusions:
- Scrotal sonography reveals distinct patterns for tuberculous epididymitis.
- Sonography aids in differentiating tuberculous from nontuberculous epididymitis.
- Ultrasound is valuable for detecting testicular involvement in tuberculous epididymitis.