PMC8416638_01
Scrotal ultrasound showing hypoechoic testis without testicular torsion.
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Scrotal ultrasonography showed a hypoechoic, avascular lesion (Fig. 1) without testicular torsion.
Computed tomography scan showed fluid correction with contrast effect in the capsule of right scrotum.
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Computed tomography showed fluid correction with contrast effect in the capsule of the right scrotum (Fig. 2) (Fig. 3).
Pathological findings of the specimens (x10 H&E staining). Inflammatory cell infiltration and necrosis in the testicular parenchyma H&E: Hematoxylin and Eosin.
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Pseudomonas aeruginosa was detected in the pus culture by matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF Biotyper [Bruker Daltonics, Germany]) and VITEK2 Compact (bioMerieux Inc.). Pathological examination showed inflammatory cell infiltration and necrosis in the testicular parenchyma (Fig. 4).
Contents of the scrotum (x4 left: H&E staining). a (left): The spermatic cord, vas deferens, and epididymis were surgically removed, but no testis was found. b (right): The histopathology of epididymis showed subacute inflammatory changes. H&E: Hematoxylin and Eosin.
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Pathological examination showed no inflammation of testis and epididymis (Fig. 5).