Home WIOTM Case of the Month December – Fast enlargement of the right testicle without trauma

Case of the Month December – Fast enlargement of the right testicle without trauma

by Admin

By Osmar Saito, MD and Maria Cristina Chammas MD, Director of Ultrasound

Clinicas Hospital, Department of Radiology, School of Medicine, University of São Paulo, São Paulo, Brazil

Clinical History:

A 36-year-old male with a history of intermittent pain in his right testicle was admitted to the emergency radiology ward with a fast enlarging testicle, without previous trauma.  He had also lost weight. Physical examination revealed an enlarged firm testicle without pain on the right side and a normal left testicle. The patient had no fever, no trauma, no chronic disease and denied any sexually transmitted diseases.  After some time the patient remembered that 6 years previously he had had leukemia and had underwent a bone marrow transplant.

Ultrasound:

B Mode US in the supine position showed a heterogeneous, enlarged testicle (Figure 1, 2 and 3). Color Doppler showed that the right testicle had an increased vascular pattern (Figure 4, 5 and 6).

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