Jafri S Z, Bree R L, Madrazo B L, Loginsky S J
Department of Radiology, William Beaumont Hospital, Royal Oak, Michigan 48073.
J Clin Ultrasound. 1991 Sep;19(7):413-8. doi: 10.1002/jcu.1870190708.
We have described 14 cases of large scrotal infections with diffuse involvement of testis and epididymis, thick septations within the cavity, and associated thickening of the scrotal wall and tunica albuginea. The combination of these findings should help distinguish this process from a diffuse neoplastic involvement of the testis where the scrotal wall is almost always of normal thickness. The presence of patchy inhomogenous testicular echo pattern should alert the sonologist to the presence of diffuse suppurative epididymo-orchitis, which may result in necrosis with subsequent orchiectomy in such patients.
我们描述了14例阴囊严重感染病例，这些病例累及睾丸和附睾，阴囊腔内有粗大分隔，阴囊壁和白膜增厚。这些表现相结合有助于将此病变与睾丸弥漫性肿瘤累及相鉴别，后者阴囊壁厚度几乎总是正常的。睾丸回声呈斑片状不均匀模式提示超声科医生可能存在弥漫性化脓性附睾炎或睾丸炎，此类患者可能会发生坏死，继而需要进行睾丸切除术。
