eMedicine Specialties > Radiology > Genitourinary

Epididymitis: Multimedia

Author: Vikram S Dogra, MD, Professor of Diagnostic Radiology, Urology, and Biomedical Engineering, University of Rochester School of Medicine; Director, Division of Ultrasound, Associate Chair of Education and Research, Department of Imaging Sciences, University of Rochester Medical Center
Contributor Information and Disclosures

Updated: Nov 13, 2009

Multimedia

Transverse sonogram of the testis shows an enlarg...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.
Transverse sonogram of the testis shows an enlarg...

Transverse sonogram of the testis shows an enlarged and predominantly hypoechoic epididymis with a reactive hydrocele in a patient with acute epididymitis.

Color-flow sonogram shows increased vascularity i...Media file 2: Color-flow sonogram shows increased vascularity in the epididymis. An enlarged epididymis with increased vascularity in the appropriate clinical setting is diagnostic of acute epididymitis.
Color-flow sonogram shows increased vascularity i...

Color-flow sonogram shows increased vascularity in the epididymis. An enlarged epididymis with increased vascularity in the appropriate clinical setting is diagnostic of acute epididymitis.

Sonogram shows an enlarged epididymis with hetero...Media file 3: Sonogram shows an enlarged epididymis with heterogeneous echotexture in a case of acute epididymitis.
Sonogram shows an enlarged epididymis with hetero...

Sonogram shows an enlarged epididymis with heterogeneous echotexture in a case of acute epididymitis.

More on Epididymitis

Overview: Epididymitis
Imaging: Epididymitis
Follow-up: Epididymitis
Multimedia: Epididymitis
References
Further Reading

References

  1. Tracy CR, Steers WD, Costabile R. Diagnosis and management of epididymitis. Urol Clin North Am. Feb 2008;35(1):101-8; vii. [Medline].

  2. 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].

  3. 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.

  4. 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].

  5. Lee JC, Bhatt S, Dogra VS. Imaging of the epididymis. Ultrasound Q. Mar 2008;24(1):3-16. [Medline].

  6. 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].

  7. Pearl MS, Hill MC. Ultrasound of the scrotum. Semin Ultrasound CT MR. Aug 2007;28(4):225-48. [Medline].

  8. Bree RL, Hoang DT. Scrotal ultrasound. Radiol Clin North Am. Nov 1996;34(6):1183-205. [Medline].

  9. Brown JM, Hammers LW, Barton JW. Quantitative Doppler assessment of acute scrotal inflammation. Radiology. Nov 1995;197(2):427-31. [Medline].

  10. Burks DD, Markey BJ, Burkhard TK. Suspected testicular torsion and ischemia: evaluation with color Doppler sonography. Radiology. Jun 1990;175(3):815-21. [Medline].

  11. Chou YH, Chan HK, Huang CN. [Torsion of the appendix testis]. Kaohsiung J Med Sci. Jun 1999;15(6):322-5. [Medline].

  12. Dogra V, Bhatt S. Acute painful scrotum. Radiol Clin North Am. Mar 2004;42(2):349-63. [Medline].

  13. Dogra VS, Gottlieb RH, Oka M. Sonography of the scrotum. Radiology. Apr 2003;227(1):18-36.

  14. 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.

  15. Dogra VS, Sessions A, Mevorach RA. Reversal of diastolic plateau in partial testicular torsion. J Clin Ultrasound. Feb 2001;29(2):105-8. [Medline].

  16. Gordon LM, Stein SM, Ralls PW. Traumatic epididymitis: evaluation with color Doppler sonography. AJR Am J Roentgenol. Jun 1996;166(6):1323-5. [Medline].

  17. Gronski M, Hollman AS. The acute paediatric scrotum: the role of colour doppler ultrasound. Eur J Radiol. Jan 1998;26(2):183-93. [Medline].

  18. 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].

  19. Herbener TE. Ultrasound in the assessment of the acute scrotum. J Clin Ultrasound. Oct 1996;24(8):405-21. [Medline].

  20. Horstman WG. Scrotal imaging. Urol Clin North Am. Aug 1997;24(3):653-71. [Medline].

  21. Lerner RM, Mevorach RA, Hulbert WC. Color Doppler US in the evaluation of acute scrotal disease. Radiology. Aug 1990;176(2):355-8. [Medline].

  22. 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].

  23. Noske HD, Kraus SW, Altinkilic BM. Historical milestones regarding torsion of the scrotal organs. J Urol. Jan 1998;159(1):13-6. [Medline].

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

Contributor Information and Disclosures

Author

Vikram S Dogra, MD, Professor of Diagnostic Radiology, Urology, and Biomedical Engineering, University of Rochester School of Medicine; Director, Division of Ultrasound, Associate Chair of Education and Research, Department of Imaging Sciences, University of Rochester Medical Center
Vikram S Dogra, MD is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, Association of Program Directors in Radiology, Radiological Society of North America, Society of Radiologists in Ultrasound, and Society of Uroradiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Joshua A Becker, MD, Professor, Department of Radiology, New York University School of Medicine
Joshua A Becker, MD is a member of the following medical societies: Society of Uroradiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.