Due to Brucella mellitensis: A Retrospective Study of 59 Patients.
(13) as a second-line imaging examination in 48 out of 230 patients, referred with a variety of penoscrotal diseases, including a small number of benign intratesticular pathologies, namely four cases of acute epididymoorchitis
, two cases of intratesticular cysts, one adrenal rest tissue, three cases of torsion, four cases of trauma, four cases of hydrocele and two inguinal hernias.
(1,2) Other differential diagnoses for acute scrotum are torsion of the testicular appendix, epididymitis, epididymoorchitis
, symptomatic spermatocele/hydrocele/varicocele, scrotal abscess including scrotal furunculosis, testicular trauma, distal ureterolithiasis, and testicular cancer.
There are nearly 600,000 cases of epididymoorchitis
per year in the United States, accounting for roughly 1/144 (0.69%) outpatient visits among 18- to 50-year-old men, with the majority of those patients aged 18 to 35 years .
A testicular ultrasound was arranged on an urgent basis with the differential diagnosis consisting of epididymoorchitis
After urological assessment, with suspected diagnosis of acute epididymoorchitis
, the patient was discharged with anti-inflammatory and antibiotic therapy.
Uncommon abdominal manifestations of typhoid include cystitis, pyelonephritis and renal abscess.(7) Khan et al have reported a rare case of typhoid rhabdomyolysis leading to acute renal failure.(8) Neha et al have reported epididymoorchitis
caused by salmonella.(9) Pleural effusion pleurisy, broncho and lobar pneumonia have also been described (7).Cardiac manifestations include endo, myo and pericarditis,but these are quite uncommon.(10) Salmonella is one of the most common causes of infectious aneurysm.(10) Central nervous system involvement can cause meningitis and encephalitis resulting in hydrocephalus and cerebral abscess.(7) Salmonella osteomyelitis is well known to occur given preexisting sickle cell disease.
 in younger age can be caused by a number of clinical conditions including testicular torsion, epididymoorchitis
, torsion of testicular appendages, infected hydrocele, incarcerated inguinal hernia and less commonly by thrombosed scrotal veins, Henoch-Schonlein purpura and fluid leakage from VP shunt.
[3.] Belyi LE, Konshin II (2013) Mechanisms of pathospermy at acute epididymoorchitis
, complicated intrascrotal hypertension.
Reguera, "Clinical findings, diagnostic approach, and outcome of Brucella melitensis epididymoorchitis
," Diagnostic Microbiology and Infectious Disease, vol.
Mumps viral infections in adolescent and adult males carry an up to 30% risk that the testes may become infected resulting in orchitis, epididymitis or epididymoorchitis
, which can be quite painful; about half of these infections result in testicular atrophy, and in rare cases sterility can follow (99) Congenital abnormalities (cryptorchidism and testicular dysgenesis, congenital absence of the vas deferens); acquired urogenital abnormalities (obstructions, testicular torsion, testicular tumour, orchitis, urogenital tract infections; increased scrotal temperature (e.g.
Respondents felt unable to independently perform the urological procedures of suprapubic catheterisation, management of epididymoorchitis
, and testicular torsion.