Baykan Ali Haydar, Sayiner Hakan Sezgin, Inan Ibrahim
Adiyaman University Faculty of Medicine Department of Radiology.
Adiyaman University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey.
Med Ultrason. 2019 Aug 31;21(3):246-250. doi: 10.11152/mu-1871.
In brucellosis the male genitourinary system can be affected in a small number of patients. In this study we aimed to identify, discuss and compare the radiologic findings of 24 cases with Brucella epididymo-orchitis (BEO) and 285 cases with non-Brucella epididymis orchitis (NBEO).
The study had a retrospective design. The area of involvement, side of involvement (left, right or bilateral), presence of abscess, hydrocele and testicular involvement pattern were analyzed and compared between the BEO and NBEO cases.
The median age of the included cases was 33 years, with a minimum of 0 and maximum of 89. Epididymo-orchitis and isolated orchitis were more frequent in BEO cases while isolated epididymis involvement was more common in patients with non-BEO (p=0.0117). Bilateral involvement was present in 20.8% and 4.6% cases in the BEO and non-BEO groups, respectively (p=0.008). The frequency of abscess was significantly higher in BEO cases (p=0.003).
Although the radiological indications of BEO are similar to those of other types of epididymo-orchitis, abscess formation, bilateral involvement and testicular involvement contribute significantly to diagnosis.
在布鲁氏菌病中，少数患者的男性生殖泌尿系统会受到影响。在本研究中，我们旨在识别、讨论和比较24例布鲁氏菌性附睾炎睾丸炎（BEO）患者和285例非布鲁氏菌性附睾炎睾丸炎（NBEO）患者的影像学表现。
本研究采用回顾性设计。分析并比较了BEO组和NBEO组患者的受累区域、受累侧（左侧、右侧或双侧）、脓肿、鞘膜积液的存在情况以及睾丸受累模式。
纳入病例的中位年龄为33岁，最小年龄为0岁，最大年龄为89岁。附睾炎睾丸炎和孤立性睾丸炎在BEO组中更为常见，而非BEO组患者中孤立性附睾受累更为常见（p=0.0117）。BEO组和非BEO组分别有20.8%和4.6%的病例出现双侧受累（p=0.008）。BEO组脓肿的发生率显著更高（p=0.003）。
尽管BEO的影像学表现与其他类型的附睾炎睾丸炎相似，但脓肿形成、双侧受累和睾丸受累对诊断有显著贡献。
