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Megan White
Manon Pilotte


Introduction: Epididymo-orchitis (EO) can be easily managed but can be challenging and have dramatic effects in patients with a spinal cord injury (SCI).

Case Study: A 55 year old man with a SCI presented to emergency department (ED) with a swollen and hardened left testicle. Ultrasound demonstrated a progression from retrograde diastolic flow to an avascular testicle suggesting infarction.

Discussion: Depending on the degree of infection the vascularity of the epididymis and testicle alters. A better understanding of the spectral doppler beyond the classic differentiation between torsion and inflammation will increase the sensitivity of the sonogram1.

Conclusion: Calculating resistive indices (RIs) when performing scrotal ultrasounds can only add to the accuracy of the diagnosis and predicted outcome. Color and spectral doppler should be obtained in all clinical circumstances.

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