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Journal of Korean Society of Ultrasound in Medicine 1996 ; 15 (1) : p.91-96

Ultrasonographic Findings of Mumps Orchitis and Epididymo-Orchitis
Yeon Kwon Ihn, M.D., Jae Joon Chung, M.D., Myeong Jin Kim, M.D., Hyung Sik Yoo, M.D., Jong Tae Lee, M.D.
Department of Diagnostic Radiolgy, College of Medicine, Yonsej University
PURPOSE : To determine ultrasonographic findings of mumps epididymo-orchitis to differentiate from othercauses of epididymo-orchitis. MATERIAL & METHODS : We retrospectively analyzed the sonographic findings of 11cases of mumps epididymo-orchitis in 10 patients. US findings were analyzed in terms of echogenicity, size,hydrocele, and calcification. The age of patients ranged from 12 to 27 years (average 16.6 years). RESULTS : Atotal of 11 lesions were involved testis ; 2 lesions were located in left, 7 lesions in right, and bilaterally inone patient. Sonographic findings consisted of diffusely enlarged homogenous hypoechoic in 6 cases, diffuselyenlarged inhomogenous hypoechoic in 3 cases, and diffusely enlarged isoechoic testis in 2 cases. A total of 7cases were involved epididymis ; 5 cases were located in the head, and 2 in the tail. The sonographic finding ofepididymitis was enlarged epididymis with heterogeneous hypoechoic pattern. The hydroceles were also seen in 5cases. CONCLUSION : It is difficult to differentiate mumps epidydimo-orchitis from other infectiousepididymo-orchitis only on the basis of ultrasonographic findings, but the clinical history of mumps can behelpful in diagnosis of this disease.
Keyword : Mumps, Testis ultrasound studies, Epididymis ultrasound studies
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