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Ultrasound findings include an enlarged heterogeneous testis, ipsilateral hydrocele, thickened scrotal wall and absence of vascular flow in the testis and spermatic cord. The ultrasound findings of intravaginal torsion vary with the duration and the degree of rotation of the spermatic cord.
A 45 year old man presented with right testicular chronic pain. He had a vasectomy 7 years ago. Upon physical examination and an ultrasound, a solid nodule in the right epididymis was found, and medical staff suspected a tumor. After findings of sperm that had undergone phagocytosis, a final diagnosis of sperm granuloma was determined. [14]
A varicocele is, in a man, an abnormal enlargement of the pampiniform venous plexus in the scrotum; in a woman, it is an abnormal painful swelling to the embryologically identical pampiniform venous plexus; it is more commonly called pelvic compression syndrome.
Pain generally begins suddenly and typically involves only one side. [6] There is often associated nausea and vomiting. [2] The testicle may lie higher in the scrotum due to twisting and subsequent shortening of the spermatic cord [6] or may be positioned in a horizontal orientation. Mild warmth and redness of the overlying area may be present.
Spermatocele is a fluid-filled cyst that develops in the epididymis. [3] The fluid is usually a clear or milky white color and may contain sperm. [4] Spermatoceles are typically filled with spermatozoa [5] and they can vary in size from several millimeters to many centimeters.
Chronic epididymitis is most commonly associated with lower back pain, and the onset of pain often co-occurs with activity that stresses the low back (i.e., heavy lifting, long periods of car driving, poor posture while sitting, or any other activity that interferes with the normal curve of the lumbar lordosis region).
Testicular pain, also known as scrotal pain, occurs when part or all of either one or both testicles hurts. Pain in the scrotum is also often included. Testicular pain may be of sudden onset or of long duration. [1] [2] Causes range from non serious muscular skeletal problems to emergency conditions such as Fournier gangrene and testicular ...
Doppler ultrasound of the scrotum, in the axial plane, showing orchitis (as part of epididymo-orchitis) as hypoechogenic and slightly heterogenic left testicular tissue (right in image), with an increased blood flow. There is also swelling of peritesticular tissue. Blood – ESR high; Urine – Cultural & Sensitivity test; Ultrasound scanning