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Epididymitis
Mitchell Tublin, MD; Shweta Bhatt, MD; Amit B. Desai, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Acute scrotum, orchitis, epididymo-orchitis
          • Definitions

            • Infectious inflammation of epididymis &/or testis

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • Nuclear Medicine Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Avery LL et al: Imaging of penile and scrotal emergencies. Radiographics. 33(3):721-40, 2013
                                        2. Boettcher M et al: Differentiation of epididymitis and appendix testis torsion by clinical and ultrasound signs in children. Urology. 82(4):899-904, 2013
                                        3. D'Andrea A et al: US in the assessment of acute scrotum. Crit Ultrasound J. 5 Suppl 1:S8, 2013
                                        4. Yusuf G et al: Global testicular infarction in the presence of epididymitis: clinical features, appearances on grayscale, color Doppler, and contrast-enhanced sonography, and histologic correlation. J Ultrasound Med. 32(1):175-80, 2013
                                        5. Aganovic L et al: Imaging of the scrotum. Radiol Clin North Am. 50(6):1145-65, 2012
                                        6. Yagil Y et al: Role of Doppler ultrasonography in the triage of acute scrotum in the emergency department. J Ultrasound Med. 29(1):11-21, 2010
                                        7. Thinyu S et al: Role of ultrasonography in diagnosis of scrotal disorders: a review of 110 cases. Biomed Imaging Interv J. 5(1):e2, 2009
                                        8. Trojian TH et al: Epididymitis and orchitis: an overview. Am Fam Physician. 79(7):583-7, 2009
                                        9. Aso C et al: Gray-scale and color Doppler sonography of scrotal disorders in children: an update. Radiographics. 25(5):1197-214, 2005
                                        10. Dogra V et al: Acute painful scrotum. Radiol Clin North Am. 42(2):349-63, 2004
                                        11. Dogra VS et al: Sonography of the scrotum. Radiology. 227(1):18-36, 2003
                                        12. Chung JJ et al: Sonographic findings in tuberculous epididymitis and epididymo-orchitis. J Clin Ultrasound. 25(7):390-4, 1997
                                        13. Gordon LM et al: Traumatic epididymitis: evaluation with color Doppler sonography. AJR Am J Roentgenol. 166(6):1323-5, 1996
                                        14. Bukowski TP et al: Epididymitis in older boys: dysfunctional voiding as an etiology. J Urol. 154(2 Pt 2):762-5, 1995
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Acute scrotum, orchitis, epididymo-orchitis
                                                • Definitions

                                                  • Infectious inflammation of epididymis &/or testis

                                                IMAGING

                                                • General Features

                                                  • Ultrasonographic Findings

                                                    • Nuclear Medicine Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Avery LL et al: Imaging of penile and scrotal emergencies. Radiographics. 33(3):721-40, 2013
                                                                              2. Boettcher M et al: Differentiation of epididymitis and appendix testis torsion by clinical and ultrasound signs in children. Urology. 82(4):899-904, 2013
                                                                              3. D'Andrea A et al: US in the assessment of acute scrotum. Crit Ultrasound J. 5 Suppl 1:S8, 2013
                                                                              4. Yusuf G et al: Global testicular infarction in the presence of epididymitis: clinical features, appearances on grayscale, color Doppler, and contrast-enhanced sonography, and histologic correlation. J Ultrasound Med. 32(1):175-80, 2013
                                                                              5. Aganovic L et al: Imaging of the scrotum. Radiol Clin North Am. 50(6):1145-65, 2012
                                                                              6. Yagil Y et al: Role of Doppler ultrasonography in the triage of acute scrotum in the emergency department. J Ultrasound Med. 29(1):11-21, 2010
                                                                              7. Thinyu S et al: Role of ultrasonography in diagnosis of scrotal disorders: a review of 110 cases. Biomed Imaging Interv J. 5(1):e2, 2009
                                                                              8. Trojian TH et al: Epididymitis and orchitis: an overview. Am Fam Physician. 79(7):583-7, 2009
                                                                              9. Aso C et al: Gray-scale and color Doppler sonography of scrotal disorders in children: an update. Radiographics. 25(5):1197-214, 2005
                                                                              10. Dogra V et al: Acute painful scrotum. Radiol Clin North Am. 42(2):349-63, 2004
                                                                              11. Dogra VS et al: Sonography of the scrotum. Radiology. 227(1):18-36, 2003
                                                                              12. Chung JJ et al: Sonographic findings in tuberculous epididymitis and epididymo-orchitis. J Clin Ultrasound. 25(7):390-4, 1997
                                                                              13. Gordon LM et al: Traumatic epididymitis: evaluation with color Doppler sonography. AJR Am J Roentgenol. 166(6):1323-5, 1996
                                                                              14. Bukowski TP et al: Epididymitis in older boys: dysfunctional voiding as an etiology. J Urol. 154(2 Pt 2):762-5, 1995