Case report. Tuberculous epididymo-orchitis: MRI findings.
A 70-year-old man presented with fever, left flank pain and scrotal enlargement. CT scan of the thorax and abdomen revealed findings compatible with pulmonary and kidney tuberculous involvement. Sonographic and MRI examination of the scrotum showed bilateral testicular enlargement and the presence of multiple nodules involving both the testis and the epididymis. Urine cultures obtained from a percutaneous left nephrostomy were positive for tuberculous bacilli, and the patient was placed on anti-tuberculous treatment.
Tsili
A C
AC
Department of Clinical Radiology, University Hospital of Ioannina, 45500 Ioannina, Greece. a_tsili@yahoo.gr
Tsampoulas
C
C
Giannakis
D
D
Papastefanaki
M
M
Tsiriopoulos
I
I
Sofikitis
N
N
Efremidis
S C
SC
D000368:Aged; D003937:Diagnosis, Differential; D004822:Epididymis / Q000000981:diagnostic imaging; D004823:Epididymitis / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D009403:Nephrostomy, Percutaneous; D009920:Orchitis / Q000175:diagnosis* / Q000209:etiology; D013737:Testis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014389:Tuberculosis, Male Genital / Q000175:diagnosis* / Q000209:etiology; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging; D014398:Tuberculosis, Renal / Q000150:complications / Q000000981:diagnostic imaging; D014463:Ultrasonography