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Epididymoorchitis mimicking testicular torsion in Henoch-Schonlein purpura.
Links Epididymoorchitis mimicking testicular torsion in Henoch-Schonlein purpura. Dayanir YO, Akdilli A, Karaman CZ, Sonmez F, Karaman GEur Radiol. 2001;11(11):2267-9. Links Epididymoorchitis mimicking testicular torsion in Henoch-Schonlein purpura. Dayanir YO, Akdilli A, Karaman CZ, Sonmez F, Karaman G. Department of Radiology, Medical Faculty, Adnan Menderes University, 09100 Aydin, Turkey. Henoch-Schonlein purpura, although being a systemic vasculitis, mostly involves skin, gastrointestinal system, joints, and kidneys. Testicular involvement is a rare occurrence. A 7-year-old boy with Henoch-Schonlein purpura developed acute scrotum and was referred to rule out testicular torsion. On gray-scale ultrasonography, the testes and epididymis were slightly enlarged, and had heterogeneous and hypoechoic echotexture. The scrotal wall was thickened as well. Color and power Doppler ultrasonography revealed increased vascularity in scrotal contents. Testicular torsion was excluded and the diagnosis of testicular involvement of Henoch-Schonlein purpura was established. Color Doppler US, together with gray-scale findings, can be useful in the evaluation of Henoch-Schonlein purpura with acute scrotum, excluding testicular torsion and preventing unnecessary surgery. PMID: 11702171 [PubMed - indexed for MEDLINE] Related Links Severe scrotal pain in boys with Henoch-Schonlein purpura: incidence and sonography. [Pediatr Radiol. 2000] PMID: 10663526 Acute scrotum in 7 cases of Schoenlein-Henoch syndrome. [Yonsei Med J. 1998] PMID: 9529989 Acute scrotum in Henoch-Schonlein purpura. [Zhonghua Yi Xue Za Zhi (Taipei). 2000] PMID: 10934812 Ultrasonographic and color Doppler imaging of hemorrhagic epididymitis in Henoch-Schonlein purpura. [J Ultrasound Med. 1992] PMID: 1433470 Orchitis mimicking testicular torsion in Henoch-Schonlein's purpura. [J Urol. 1981] PMID: 7321139 See all Related Articles... Display Summary Brief Abstract AbstractPlus Citation MEDLINE XML UI List LinkOut ASN.1 Related Articles Cited Articles Cited in Books CancerChrom Links Domain Links 3D Domain Links GEO DataSet Links Gene Links Gene (GeneRIF) Links Genome Links Project Links GENSAT Links GEO Profile Links HomoloGene Links Nucleotide Links Nucleotide (RefSeq) Links OMIA Links OMIM (calculated) Links OMIM (cited) Links BioAssay Links Compound Links Compound via MeSH Substance Links Substance via MeSH PMC Links Cited in PMC PopSet Links Probe Links Protein Links Protein (RefSeq) Links SNP Links Structure Links Taxonomy via GenBank UniGene Links UniSTS Links Show 5 10 20 50 100 200 500 Sort by Pub Date First Author Last Author Journal Send to Text File Printer Clipboard E-mail Order .
Department of Radiology, Medical Faculty, Adnan Menderes University, 09100 Aydin, Turkey.
Henoch-Schonlein purpura, although being a systemic vasculitis, mostly involves skin, gastrointestinal system, joints, and kidneys. Testicular involvement is a rare occurrence. A 7-year-old boy with Henoch-Schonlein purpura developed acute scrotum and was referred to rule out testicular torsion. On gray-scale ultrasonography, the testes and epididymis were slightly enlarged, and had heterogeneous and hypoechoic echotexture. The scrotal wall was thickened as well. Color and power Doppler ultrasonography revealed increased vascularity in scrotal contents. Testicular torsion was excluded and the diagnosis of testicular involvement of Henoch-Schonlein purpura was established. Color Doppler US, together with gray-scale findings, can be useful in the evaluation of Henoch-Schonlein purpura with acute scrotum, excluding testicular torsion and preventing unnecessary surgery.
This abstract is being posted for educational purposes, as well as for comment and criticism, by the visitors to the Epididymitis Foundation website (EpididymitisFoundation.org). This abstract is representative of a larger article that is indexed on Medline.
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Disclaimer: Information provided on this web site is for educatonal purposes only. It is not a substitute for, nor can it replace advice from your own physician. The information on this site is not to be used for diagnosing or treating any health concerns that you may have. Testicular torsion, which is a medical emergency can be confused with epididymitis. You must see your own physician for diagnosis and treatment. Furthermore, the information on this site is never guaranteed to be 100% accurate or 100% up to date. All the side effects of mentioned treatments, drugs, surgeries, or therapies cannot always be listed or be known. Errors and omissions may occur in any essay. See a competent physician for your health care needs.
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