EURORAD ESR

Case 11377

Funiculitis and epididymitis: an exceptional, unexpected CT diagnosis

Author(s)
Tonolini Massimo

"Luigi Sacco" University Hospital,
Radiology Department;
Via G.B. Grassi 74
20157 Milan, Italy;
Email:mtonolini@sirm.org
 
Patient
male, 53 year(s)
 
 
  • Figure 1
    Multidetector CT - unenhanced acquisition
     

    Preliminary unenhanced images disclosed subtle, uniform thickening of the left ductus deferens (arrowheads in a) compared to contralateral (thin arrow in b).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Dacryocystography; Special Focus: Infection;

    Preliminary unenhanced images disclosed subtle, uniform thickening of the left ductus deferens (arrowheads in a) compared to contralateral (thin arrow in b).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Outside the inguinal canal, the left spermatic cord (arrowhead) appeared enlarged compared to contralateral side.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    In the caudalmost unenhanced CT image, thickening and inhomogeneity are appreciated in the upper portion of the left scrotum (*).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    Multidetector CT - contrast-enhanced acquisition
     

    Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    Scrotal colour Doppler ultrasound
     

    The left epidydimis appears enlarged (head thickness 22 mm, caliper in a), inhomogeneously hypoechoic without appreciable liquefaction, and hypervascularised (head in b, body-tail in c). Similar inflammatory changes...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Infection;

    The left epidydimis appears enlarged (head thickness 22 mm, caliper in a), inhomogeneously hypoechoic without appreciable liquefaction, and hypervascularised (head in b, body-tail in c). Similar inflammatory changes...

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Infection;

    The left epidydimis appears enlarged (head thickness 22 mm, caliper in a), inhomogeneously hypoechoic without appreciable liquefaction, and hypervascularised (head in b, body-tail in c).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
Preliminary unenhanced images disclosed subtle, uniform thickening of the left ductus deferens (arrowheads in a) compared to contralateral (thin arrow in b).
 
Preliminary unenhanced images disclosed subtle, uniform thickening of the left ductus deferens (arrowheads in a) compared to contralateral (thin arrow in b).
 
Outside the inguinal canal, the left spermatic cord (arrowhead) appeared enlarged compared to contralateral side.
 
In the caudalmost unenhanced CT image, thickening and inhomogeneity are appreciated in the upper portion of the left scrotum (*).
 
Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).
 
Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).
 
Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).
 
Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).
 
Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).
 
Coronal (a, detail in b) and axial (c..f in craniocaudal order) postcontrast images show tubular enhancement along the thickened left spermatic cord (arrowheads), moderate epididymal enhancement (thin arrows in a,e).
 
The left epidydimis appears enlarged (head thickness 22 mm, caliper in a), inhomogeneously hypoechoic without appreciable liquefaction, and hypervascularised (head in b, body-tail in c). Similar inflammatory changes do not involve the ipsilateral testicle.
 
The left epidydimis appears enlarged (head thickness 22 mm, caliper in a), inhomogeneously hypoechoic without appreciable liquefaction, and hypervascularised (head in b, body-tail in c). Similar inflammatory changes do not involve the ipsilateral testicle.
 
The left epidydimis appears enlarged (head thickness 22 mm, caliper in a), inhomogeneously hypoechoic without appreciable liquefaction, and hypervascularised (head in b, body-tail in c).
 
 
 
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