Skip to main content
SpringerLink
Log in

Synchronous infection of the aorta and the testis: emphysematous epididymo-orchitis, abdominal aortic mycotic aneurysm, and testicular artery pseudoaneurysm diagnosed by use of MDCT

  • Case Report
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

We report clinical details and imaging findings for a case of emphysematous epididymo-orchitis with co-existing mycotic abdominal aortic aneurysm and a testicular artery pseudoaneurysm in a diabetic 65-year-old male. We report imaging findings from ultrasonography (USG) and contrast-enhanced multidetector computed tomography (MDCT). Use of MDCT to identify, confirm, and define the extent of the disease, and its utility in understanding the pathogenesis of this rare condition are highlighted. For such lethal infections, early diagnosis and intervention can be lifesaving; imaging can be of crucial importance in this.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Mathur A, Manish A, Maletha M, Luthra NB. Emphysematous epididymo-orchitis: a rare entity. Indian J Urol. 2011;27(3):399–400.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Natarajan V, Burgess NA, Gaches CG, Ball RY. Emphysematous infarction of the testis following epididymo-orchitis. Br J Urol. 1995;76(2):270–1.

    Article  CAS  PubMed  Google Scholar 

  3. Grayson DE, Abbott RM, Levy AD, Sherman PM. Emphysematous infections of the abdomen and pelvis: a pictorial review. Radiographics. 2002;22(3):543–61.

    Article  PubMed  Google Scholar 

  4. Casqueiro J, Alves C. Infections in patients with diabetes mellitus: a review of pathogenesis. Indian J Endocrinol Metab. 2012;16(Suppl 1):S27–36.

    PubMed Central  PubMed  Google Scholar 

  5. Coulier B, Ramboux A, Maldague P. Emphysematous epididymitis as presentation of unusual seminal vesicle fistula secondary to sigmoid diverticulitis: case report. Abdom Imaging. 2005;30(1):113–6.

    Article  CAS  PubMed  Google Scholar 

  6. Dogra VS, Gottlieb RH, Oka M, Rubens DJ. Sonography of the scrotum. Radiology. 2003;227(1):18–36.

    Article  PubMed  Google Scholar 

  7. Lee WK, Mossop PJ, Little AF, Fitt GJ, Vrazas JI, Hoang JK, et al. Infected (mycotic) aneurysms: spectrum of imaging appearances and management. Radiographics. 2008;28(7):1853–68.

    Article  PubMed  Google Scholar 

  8. Gonda RL Jr, Gutierrez OH, Azodo MV. Mycotic aneurysms of the aorta: radiologic features. Radiology. 1988;168(2):343–6.

    Article  PubMed  Google Scholar 

  9. Parellada JA, Palmer J, Monill JM, Zidan A, Gimenez AM, Moreno A. Mycotic aneurysm of the abdominal aorta: CT finding in three patients. Abdom Imaging. 1997;22(3):321–4.

    Article  CAS  PubMed  Google Scholar 

  10. Levenson RB, Singh AK, Novelline RA. Fournier gangrene: role of imaging. Radiographics. 2008;28(2):519–28.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

All the authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Radiology, LokmanyaTilak Municipal Medical College and LokmanyaTilak Municipal General Hospital, Sion, Mumbai, India

    Rahul G. Hegde, Ankit Balani, Suleman A. Merchant & Anagha R. Joshi

  2. B-302, Shreenath Plaza, LT Road, Mulund (East), Mumbai, 400081, India

    Rahul G. Hegde

Authors
  1. Rahul G. Hegde
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ankit Balani
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Suleman A. Merchant
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Anagha R. Joshi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rahul G. Hegde.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hegde, R.G., Balani, A., Merchant, S.A. et al. Synchronous infection of the aorta and the testis: emphysematous epididymo-orchitis, abdominal aortic mycotic aneurysm, and testicular artery pseudoaneurysm diagnosed by use of MDCT. Jpn J Radiol 32, 425–430 (2014). https://doi.org/10.1007/s11604-014-0313-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-014-0313-1

Keywords

Search

Navigation