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LETTER TO THE EDITOR  
Year : 2015  |  Volume : 25  |  Issue : 1  |  Page : 75
Emphysematous epididymo-orchitis


Department of Radiodiagnosis, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India

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Date of Web Publication28-Jan-2015
 

How to cite this article:
Aswani Y, Anandpara KM. Emphysematous epididymo-orchitis. Indian J Radiol Imaging 2015;25:75

How to cite this URL:
Aswani Y, Anandpara KM. Emphysematous epididymo-orchitis. Indian J Radiol Imaging [serial online] 2015 [cited 2020 Feb 21];25:75. Available from: http://www.ijri.org/text.asp?2015/25/1/75/150176
Sir,

We read with a great deal of interest the article by Mandava et al. describing the imaging features of emphysematous epididymo-orchitis [1] and found it to be informative and excellently written. However, we would like to make a few contributions.

In the manuscript, the authors describe "emphysematous epididymo-orchitis" to have been reported in only two cases prior to the present case. A search on Pubmed, however, reveals a total of five cases including the present one. [2],[3] Yet another case was published by Gretchen. [4]

Secondly, we would like to understand the indication of MRI in the present case. Since the diagnosis was fairly established on USG and further confirmed on CT, the need to perform a battery of investigations needs to be better explained. Besides, the patient presented with acute scrotal pain and MRI, being a lengthy procedure, is typically not preferred (ACR Appropriateness Criteria ® acute onset of scrotal pain - without trauma, without antecedent mass).

Finally, the differential diagnosis should be case-relevant. Torsion of testis is extremely rare in old age. The reported case here is a 51-year-old male, torsion of testis in whom is highly unlikely.

We conclude by once again commending the authors for an excellent article. However, it would be of enormous help if the authors could clarify certain doubts we had.

 
   References Top

1.
Mandava A, Rao RP, Kumar DA, Naga Prasad IS. Imaging in emphysematous epididymo-orchitis: A rare cause of acute scrotum. Indian J Radiol Imaging 2014;24:306-9.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Natarajan V, Burgess NA, Gaches CG, Ball RY. Emphysematous infarction of the testis following epididymo-orchitis. Br J Urol 1995;76:270-1.  Back to cited text no. 2
    
3.
Hegde RG, Balani A, Merchant SA, Joshi AR. 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 2014;32:425-30.  Back to cited text no. 3
    
4.
Gretchen AW. Gooding. Ultrasound in acute testicular disease. Emerg Radiol 1999;6:313-5.  Back to cited text no. 4
    

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Correspondence Address:
Yashant Aswani
Department of Radiodiagnosis, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.150176

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