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What are on the differential for acute scrotum?
Testicular torsion – epididymo-orchitis -- testicular appendage torsion.
What are the complications of epididymitis if untreated?
It may proceed to epididymo-orchitis with possibility of vascular compromise due to increased intratesticular pressure with consequent testicular ischaemia (or even infarction), epididymal abscess, or testicular abscess
Increased epididymal size with prominent vascularity of the right epididymis, consistent with epididymitis.