Abstract
Epididymo-orchitis (EO) can be easily managed but can be challenging and have dramatic effects in patients with a spinal cord injury (SCI). A 55-year-old man with a spinal cord injury (SCI) presented to the emergency department (ED) with a swollen and hardened left testicle. Ultrasound demonstrated a progression from retrograde diastolic flow to an avascular testicle suggesting infarction. Depending on the degree of infection the vascularity of the epididymis and testicle alters. A better understanding of the spectral Doppler beyond the classic differentiation between torsion and inflammation will increase the sensitivity of the sonogram. Calculating resistive indices when performing scrotal ultrasounds can only add to the accuracy of the diagnosis and predicted outcome. Colour and spectral Doppler should be obtained in all clinical circumstances.
Published Version
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