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Scrotal pain and enlargement

Author: Carlo Catalano, MD, Rome, Italy
Body Region: Abdomen and Pelvis

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References

1. Patient presentation

  • A 73-year-old man presented with lower quadrant abdominal pain, as well as bilateral scrotal
    pain and enlargement.

  • No abnormality was found with standard laboratory tests.
  • Doppler ultrasonography showed bilateral enlargement of the upper testicular pole (epididymis),
    which had a hypoechoic appearance spotted with calcifications.

  • Contrast-enhanced CT was performed.