SEGMENTAL HEMORRHAGIC INFARCTION OF TESTIS ASSOCIATED WITH EPIDIDYMITIS

Testicular infarction is most commonly associated with acute testicula r torsion. We present the sonographic findings in a case of segmental testicular infarction associated with epididymitis. The gray-scale abn ormalities included a round, well-defined, hypoechoic intratesticular mass and heterogeneity and enlargement of the epididymis. Color Dopple r sonography demonstrated only minimal blood flow in the intratesticul ar mass and increased flow in the epididymis. Recognition of acute tes ticular segmental infarction as a complication of epididymitis may pre vent unnecessary orchiectomy. (C) 1998 John Wiley & Sons, Inc.