title: Synchronous infection of the aorta and the testis: emphysematous epididymo-orchitis, abdominal aortic mycotic aneurysm, and testicular artery pseudoaneurysm diagnosed by use of MDCT.
abstract: We report clinical details and imaging findings for a case of emphysematous epididymo-orchitis with co-existing mycotic abdominal aortic aneurysm and a testicular artery pseudoaneurysm in a diabetic 65-year-old male. We report imaging findings from ultrasonography (USG) and contrast-enhanced multidetector computed tomography (MDCT). Use of MDCT to identify, confirm, and define the extent of the disease, and its utility in understanding the pathogenesis of this rare condition are highlighted. For such lethal infections, early diagnosis and intervention can be lifesaving; imaging can be of crucial importance in this.
authors.affiliation: Department of Radiology, LokmanyaTilak Municipal Medical College and LokmanyaTilak Municipal General Hospital, Sion, Mumbai, India, rahulhegde@gmail.com.
authors.forename: Rahul G
authors.initials: RG
authors.lastname: Hegde
authors.forename: Ankit
authors.initials: A
authors.lastname: Balani
authors.forename: Suleman A
authors.initials: SA
authors.lastname: Merchant
authors.forename: Anagha R
authors.initials: AR
authors.lastname: Joshi
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging* / Q000601:surgery; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging*; D003287:Contrast Media; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D007472:Iohexol / Q000031:analogs & derivatives; D008297:Male; D061330:Multidetector Computed Tomography / Q000379:methods*; D009920:Orchitis / Q000000981:diagnostic imaging* / Q000601:surgery; D011856:Radiographic Image Enhancement / Q000379:methods; D013737:Testis / Q000000981:diagnostic imaging / Q000601:surgery
chemical_list: D003287:Contrast Media; D007472:Iohexol; C038192:iopromide
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