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December 2011

Uncommon scrotal abnormaliies in 2 young boys
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Clinical information

3 weeks old boy
Scrotal swelling. An ultrasound was requested to confirm a hydrocele

Ultrasound Images & Clips

Uncommon scrotal abnormaliies in 2 young boys

Longitudinal image of a 3 weeks old boy with a scrotal swelling. There is a small hydrocele. The right testis shows cystic changes at the rete testis
Longitudinal image of a 3 weeks old boy with a scrotal swelling. There is a small hydrocele. The right testis shows cystic changes at the rete testis
Transverse image of the same testis with cystic changes
Transverse image of the same testis with cystic changes
The testis has a normal vascularity
The testis has a normal vascularity
Longitudinal image of the normal left testis and epididymis. There is also a small hydrocele.
Longitudinal image of the normal left testis and epididymis. There is also a small hydrocele.
Image of the same testis several weeks later. The cystic structures are now nearly completeky diminished
Image of the same testis several weeks later. The cystic structures are now nearly completeky diminished
Another image of the testis with barely visible cysts.In this case the cyst are reversible so are not a cystic dysplasia of the rete testis
Another image of the testis with barely visible cysts.In this case the cyst are reversible so are not a cystic dysplasia of the rete testis
Longitudinal image of a normal right testis in a 2 year old boy. The left testis was not palpable
Longitudinal image of a normal right testis in a 2 year old boy. The left testis was not palpable
Transverse image of the same normal right testis. The left testis could not be found with ultrasound. Therefore we checked the kidneys
Transverse image of the same normal right testis. The left testis could not be found with ultrasound. Therefore we checked the kidneys
There was also no left kidney
There was also no left kidney
The right kidney was larger than normal.
The right kidney was larger than normal.

Conclusion

The first patient had cystic changes of the rete testis. Cystic dysplasia of the testis is often associated with  abnormalities of the kidney on the same side In this case the kidneys were normal and the cysts reversible. The second boy had an agenesis of the left testis and the left kidney.

Details

  • Sex: Male

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  • Fujifilm Ultrasound System
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photo Taco Geertsma
Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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