Bilateral synchronous granulomatous orchitis: gray-scale and colour Doppler sonographic findings

• Published in: European journal of radiology Vol. 31; no. 3; pp. 201 - 203
• Main Authors: Pekindil, Gökhan, Hüseyin Atakan, İrfan, Kaya, Esat, Bilgi, Selçuk, İnci, Osman
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01-09-1999; Elsevier Science
• Subjects: Biological and medical sciences; Color image processing; Diagnosis; Doppler effect; Doppler studies; Erectile Dysfunction - etiology; Genital system. Mammary gland; Granuloma; Granuloma - diagnostic imaging; Granuloma - pathology; Granuloma - surgery; Humans; Investigative techniques, diagnostic techniques (general aspects); Male; Medical imaging; Medical sciences; Middle Aged; Orchiectomy; Orchitis; Orchitis - diagnostic imaging; Orchitis - pathology; Orchitis - surgery; Testicular Diseases - diagnostic imaging; Testicular Diseases - pathology; Testicular Diseases - surgery; Ultrasonic investigative techniques; Ultrasonography, Doppler, Color; Ultrasound; Granuloma; Orchitis; Doppler studies; Ultrasound; Sonography; Doppler ultrasound study; Case study; Human; Color; Bilateral; Male; Diagnosis; Male genital diseases; Testicular diseases
• ISSN: 0720-048X; 1872-7727
• DOI: 10.1016/S0720-048X(98)00122-3

A 60-year-old man presented with impotence ultrasonography demonstrated bilateral irregular hypoechoic infiltration of testes and normal epididymis. Colour Doppler sonography showed only peripheral but no intralesional flow. Since the lesion was presumed as malignancy bilateral high inguinal orchiectomy was performed and bilateral idiopathic granulomatous orchitis was diagnosed. It was concluded that granulomatous orchitis should be considered in the differential diagnosis of diffuse testicular hypoechoic involvement which showed only peripheral low-resistance flow on colour Doppler sonography, in the proper clinical setting. Although this may be a helpful sign in the differntial diagnosis of diffuse testicular infiltrations, high inguinal exploration remains mandatory.