Funiculitis

Case contributed by Mohamed Mahmoud Elthokapy
Diagnosis almost certain

Presentation

Left inguinal painful swelling radiating to scrotum

Patient Data

Age: 45 years
Gender: Male
ultrasound

The left spermatic cord appears thickened and hyperperfused by fat as well as showing increased peripheral vascularity.

Relatively swollen and hyperemic adjacent epididymis.

No signs of orchitis detected.

Case Discussion

Funiculitis, is an inflammation of the spermatic cord, which commonly occurs following infection of adjacent anatomy, for example epididymis, testis, or urethra. It is usually a bacterial infection although a wide, non-infectious, differential is well-recognized.

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