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![]() | Media file 1: Transverse sonogram of the testis shows an enlarged and predominantly hypoechoic epididymis with a reactive hydrocele in a patient with acute epididymitis. |
![]() | Media file 3: Sonogram shows an enlarged epididymis with heterogeneous echotexture in a case of acute epididymitis. |
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References
Tracy CR, Steers WD, Costabile R. Diagnosis and management of epididymitis. Urol Clin North Am. Feb 2008;35(1):101-8; vii. [Medline].
Tracy CR, Costabile RA. The evaluation and treatment of acute epididymitis in a large university based population: are CDC guidelines being followed?. World J Urol. Apr 2009;27(2):259-63. [Medline].
Center for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines 2006: Epididymitis. Centers for Disease Control and Prevention. Department of Health and Human Services. Available at http://www.cdc.gov/std/Treatment/2006/epididymitis.htm. Accessed November 6, 2009.
Karmazyn B, Kaefer M, Kauffman S, Jennings SG. Ultrasonography and clinical findings in children with epididymitis, with and without associated lower urinary tract abnormalities. Pediatr Radiol. Oct 2009;39(10):1054-8. [Medline].
Lee JC, Bhatt S, Dogra VS. Imaging of the epididymis. Ultrasound Q. Mar 2008;24(1):3-16. [Medline].
Al-Taheini KM, Pike J, Leonard M. Acute epididymitis in children: the role of radiologic studies. Urology. May 2008;71(5):826-9; discussion 829. [Medline].
Pearl MS, Hill MC. Ultrasound of the scrotum. Semin Ultrasound CT MR. Aug 2007;28(4):225-48. [Medline].
Bree RL, Hoang DT. Scrotal ultrasound. Radiol Clin North Am. Nov 1996;34(6):1183-205. [Medline].
Brown JM, Hammers LW, Barton JW. Quantitative Doppler assessment of acute scrotal inflammation. Radiology. Nov 1995;197(2):427-31. [Medline].
Burks DD, Markey BJ, Burkhard TK. Suspected testicular torsion and ischemia: evaluation with color Doppler sonography. Radiology. Jun 1990;175(3):815-21. [Medline].
Chou YH, Chan HK, Huang CN. [Torsion of the appendix testis]. Kaohsiung J Med Sci. Jun 1999;15(6):322-5. [Medline].
Dogra V, Bhatt S. Acute painful scrotum. Radiol Clin North Am. Mar 2004;42(2):349-63. [Medline].
Dogra VS, Gottlieb RH, Oka M. Sonography of the scrotum. Radiology. Apr 2003;227(1):18-36.
Dogra VS, Rubens DJ, Gottlieb RH. Torsion and beyond: new twists in spectral Doppler evaluation of the scrotum. J Ultrasound Med. Aug 2004;23(8):1077-85.
Dogra VS, Sessions A, Mevorach RA. Reversal of diastolic plateau in partial testicular torsion. J Clin Ultrasound. Feb 2001;29(2):105-8. [Medline].
Gordon LM, Stein SM, Ralls PW. Traumatic epididymitis: evaluation with color Doppler sonography. AJR Am J Roentgenol. Jun 1996;166(6):1323-5. [Medline].
Gronski M, Hollman AS. The acute paediatric scrotum: the role of colour doppler ultrasound. Eur J Radiol. Jan 1998;26(2):183-93. [Medline].
Hawtrey CE. Assessment of acute scrotal symptoms and findings. A clinician''s dilemma. Urol Clin North Am. Nov 1998;25(4):715-23, x. [Medline].
Herbener TE. Ultrasound in the assessment of the acute scrotum. J Clin Ultrasound. Oct 1996;24(8):405-21. [Medline].
Horstman WG. Scrotal imaging. Urol Clin North Am. Aug 1997;24(3):653-71. [Medline].
Lerner RM, Mevorach RA, Hulbert WC. Color Doppler US in the evaluation of acute scrotal disease. Radiology. Aug 1990;176(2):355-8. [Medline].
Mevorach RA, Lerner RM, Greenspan BS. Color Doppler ultrasound compared to a radionuclide scanning of spermatic cord torsion in a canine model. J Urol. Feb 1991;145(2):428-33. [Medline].
Noske HD, Kraus SW, Altinkilic BM. Historical milestones regarding torsion of the scrotal organs. J Urol. Jan 1998;159(1):13-6. [Medline].
Further Reading
Related eMedicine topics
Epididymitis (from Urology)
Epididymitis (from Emergency Medicine)
Testicular Torsion
Testicular Choriocarcinoma
Bedside Ultrasonography, Testicular Evaluation
Guidelines
Epididymitis and Orchitis. In: Guidelines on the Management of Urinary and Male Genital Tract Infections
ACR Appropriateness Criteria Acute Onset of Scrotal Pain (Without Trauma, Without Antecedent Mass)
Keywords
epididymitis, epididymis, acute epididymitis, epididymo-orchitis, acute scrotum, acute scrotal pain, testicular torsion, Chlamydia trachomatis, C trachomatis, Neisseria gonorrhoeae, N gonorrhoeae, Escherichia coli, E coli, Proteus mirabilis, P mirabilis, Prehn sign






Multimedia: Epididymitis