Acute Epididymo-orchitis–Related Global Testicular Infarction
| Autor: | Shu-Hang Ng, Jui-Wei Lin, Ching-Di Chang, Yi-Wei Lee, Chung-Cheng Huang, Yen-Ta Chen, Chen-Chang Lee, Sheung-Fat Ko |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty 030232 urology & nephrology Urology Orchitis Severity of Illness Index 030218 nuclear medicine & medical imaging Young Adult 03 medical and health sciences 0302 clinical medicine Testis Hydrocele Severity of illness medicine Humans Radiology Nuclear Medicine and imaging Testicular infarction Ultrasonography Doppler Color Young adult Child Aged Retrospective Studies Ultrasonography Epididymis Epididymitis business.industry Ultrasound Middle Aged Left Testis medicine.disease Infarction Acute Disease Acute epididymo-orchitis Radiology business Scrotal Pain |
| Zdroj: | Ultrasound Quarterly. 32:283-289 |
| ISSN: | 1536-0253 0894-8771 |
| Popis: | Acute epididymo-orchitis (AEO)-related global testicular infarction (GTI) is rare. We report herein the clinical and ultrasound findings of 6 patients with AEO-related GTI. Seventeen patients with torsion-related GTI were also reviewed and compared. The echotexture of AEO-related GTI ranged from mildly inhomogeneous to diffuse heteroechoic, depending on the severity of testicular necrotic changes. All of the patients showed a juxta-epididymal string-of-bead pattern on color Doppler ultrasound, which was ascribed to patent arteries (5/6, 87%) and collateral vessels (1/6, 13%) in the tunica albuginea. There were no significant differences in age, laterality, leukocyte count, testicular volume ratio (infarcted/normal), frequencies of heteroechoic testicular parenchyma, scrotal skin thickening, and hydrocele between the 2 groups. However, the left testis was predominantly affected in both groups. Compared with torsion-related GTI, patients with AEO-related GTI had significantly longer duration from scrotal pain onset to surgery (13.5 ± 5.2 vs 2.6 ± 2.0 days, P < 0.001), a higher level of serum C-reactive protein (110.0 ± 82.0 vs 41.2 ± 35.9 mg/dL, P = 0.013), a higher frequency of the juxta-epididymal string-of-bead sign (100% vs 12%, P < 0.001), and a lower frequency of the whirlpool/knot sign (0% vs 88%, P = 0.002). Although the testis in AEO-related GTI may appear variable from mildly to extensively heteroechoic on gray-scale ultrasound, this unusual disease can be characterized by an avascular testis with a juxta-epididymal string-of-bead sign on color Doppler ultrasound. |
| Databáze: | OpenAIRE |
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