case_images: PMC6319168_01
case_images: Initial sonographic findings were suggestive of orheoepididymitis.
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case_images: The testis was well perfused and in normal position (Fig. 1).
case_images: On re-examination a week later, edema had subsided and the testis appeared hard, indurated and painless.
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case_images: rjy349F2
case_images: On first reexamination, a week later, edema had subsided and the testis appeared hard, indurated and painless (Fig. 2).
case_images: Five days later another ultrasound showed reduced testicular perfusion that reached only the periphery of the testicular parenchyma.
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case_images: rjy349F3
case_images: Five days later, at the second reexamination, another ultrasound showed reduced testicular perfusion that reached only the periphery of the testicular parenchyma (Fig. 3).
case_images: Intraoperatively testis was non-twisted, with normal vas and vessels that ended in a necrotic testicular parenchyma.
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case_images: The testis was dark brown, hard on palpation and no blood came out when incised (Fig. 4).
case_images: Spermatic granuloma: accumulation of sperm (center) surrounded by a granulomatous foreign body inflammatory response (upper part). H-EX 100.
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case_images: Histology showed a case of epididymitis nodosa and ruptured sperm granuloma that caused vascular compression, thrombosis and testicular necrosis (Fig. 5).