title: [Evolutive orchiepididymitis or ischemic testis?: that is the question].
abstract: We report a case of deferred acute scrotum in a young teenager. Even though initially the aetiological diagnosis seemed clear (partially treated epididymo-orchitis), glandular viability remained uncertain due to ultrasound findings and the time elapsed since initial diagnosis. Colour Doppler Ultrasound is examined as the most useful ancillary method in differential diagnosis in this setting, as well as the different ultrasound findings in subsequent stages of spermatic cord torsion and epididymo-orchitis. Possible testicular ischaemia in this clinical setting is emphasized, explaining its pathophysiology.
authors.affiliation: Unidad de Uropediatría, Fundación Puigvert, Barcelona.
authors.forename: J
authors.initials: J
authors.lastname: Martínez de Hurtado
authors.forename: C
authors.initials: C
authors.lastname: Errando Smet
authors.forename: R I
authors.initials: RI
authors.lastname: Regalado Pareja
authors.forename: J
authors.initials: J
authors.lastname: Huguet Pérez
authors.forename: J
authors.initials: J
authors.lastname: Caffaratti
authors.forename: J M
authors.initials: JM
authors.lastname: Garat
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D004823:Epididymitis / Q000000981:diagnostic imaging*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging*; D008297:Male; D009920:Orchitis / Q000000981:diagnostic imaging*; D013737:Testis / Q000098:blood supply* / Q000000981:diagnostic imaging; D014463:Ultrasonography
vernacular_title: Orquioepididimitis evolutiva o testículo isquémico?: he ahí la cuestión.