Teenager boy with a clinical diagnosis - acute epididymitis, confirmed by ultrasound performed at admission, aims to a follow-up ultrasound at the next day after admission.
At the current US the testis on the problem side is increased in size(attachment 1), heterogeneous echo-texture(attachment 2), on DPD with increased blood flow(attachment 3), the epididymis is not increased, close to the testis visualized torsion of the spermatic cord (incomplete testicular torsion, attachments 4-6), with increased blood flow at DPD/CFM and PW(attachments 7-8).
"there is overlap in the gray-scale and Doppler findings of epididymo-orchitis (EO) and PTT with TDS, and testicular or paratesticular hyperemia during the detorsion phase of TDS can be confused with complicated EO."
