Epididymitis in Children: Is Further Investigation Necessary after the First Episode?

Cappèle, Olivier; Liard, A; Barret, E.; Bachy, Bruno; Mitrofanoff, P

doi:10.1159/000020343

Cited by 41 publications

(35 citation statements)

References 20 publications

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“…[9] Haecker and associates diagnosed only one boy with urinary malformation out of 49 children who presented with acute epididymitis. [3] Rare cases complicating epididymitis at infancy were also reported to be caused by urogenital anomalies associated with anorectal malformation.…”

Section: Discussionmentioning

confidence: 99%

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Infantile epididymitis with calcification

Muramori

Nagata

Handa

2008

J Indian Assoc Pediatr Surg

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A 1-month-old infant presented with a case of calcifying chronic epididymitis. Differential diagnosis was made from a testicular torsion and neoplasm. Serial ultrasound examination revealed a calcified lesion adjacent to the normal testis, thereby avoiding an unnecessary orchiectomy. Infantile epididymitis has been thought to be rare; however, it is occasionally encountered in the literature and calcification with chronic epididymitis in an infant has not been previously reported. On the other hand, an infant with scrotal calcification should be suspected of neoplasm. However, the tumor markers α-fetoprotein (AFP) and Human Chorionic Gonadotropin β (HCG β) were within the physiological range. Therefore, a diagnosis must be carefully made to avoid an unnecessary orchiectomy.

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Section: Discussionmentioning

confidence: 99%

“…showed that there was no significant relationship observed between the prognostic factors related to the recurrence and underlying anomalies and concluded that further urogenital exploration was recommended in patients presenting with recurrent epididymitis. [9]…”

Section: Discussionmentioning

confidence: 99%

Infantile epididymitis with calcification

Muramori

Nagata

Handa

2008

J Indian Assoc Pediatr Surg

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“…Primer viral tutulum, postinfeksiyöz inflamatuvar reaksiyonlar veya varisella veziküllerinin sekonder bakteriyel enfeksiyon sonucu mu ortaya çıktığı henüz tam bilinmemektedir. Çocuklarda postinfeksiyöz inflamatuvar reaksiyonlar yaygın değildir (6). Literatürün kapsamlı bir şekilde incelenmesi sonucu, varisellaya bağlı epididimoorşitin sadece dokuz olguda bildirildiğini tespit ettik (7-13) (Tablo 1).…”

Section: Olgu Sunumuunclassified

Epididimoorşitle Seyreden Bir Suçiçeği Olgusu, Bir Tesadüften Fazlası mı?

Celep¹,

Varol²,

Erdoğan³

et al. 2019

J Pediatr Inf

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Varisella enfeksiyonu (suçiçeği), döküntülü, genellikle kendini sınırlayabilen, bulaşıcı bir çocukluk hastalığıdır. Sekonder bakteriyel enfeksiyonlar, nörolojik sorunlar, pnömoni ve hematolojik tutulum ise iyi bilinen komplikasyonlarıdır. Epididimoorşit, epididim ve testislerin iltihabı, nadir ve bilinmeyen bir suçiçeği komplikasyonudur. Burada, epididimoorşit ile komplike suçiçeği enfeksiyonu geçiren beş yaşında bir erkek hasta sunulmaktadır. Hastanemize vesikülopüstüler suçiçeği döküntüsünün yedinci gününde skrotumda şişlik nedeniyle başvuran hastaya skrotal Doppler ultrasonografi ile epididimoorşit tanısı konulmuştur. Antimikrobiyal ve destekleyici tedavi için hastaneye yatırılıp, altıncı günde genel durumu iyi olarak oral tedaviye devam etmek üzere taburcu edilmiştir. Bu olgu sunumu ile sık görülen hastalıkların nadir komplikasyonları olabileceğine dikkat çekmek istenmiştir. Epididimoorşit ile varisella enfeksiyonu nadir; fakat önlenebilir bir problemdir.

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“…In infants, representative pathogens are Escherichia coli , Pseudomonas , and Aerobacter [36]. The underlying abnormalities in infants include an ectopic ureteral opening to the seminal vesicle, posterior urethral valves, and vesicourinary reflux [37-40]. …”

Section: Testicular Torsionmentioning

confidence: 99%

“…Although the need for imaging scrutiny regarding the underlying cause is controversial, some authors have suggested that patients with epididymitis, especially in infancy or after a second episode, should undergo an evaluation for underlying disease(s), via methods such as US and voiding cystourethrography [37,38]. This is because a correct diagnosis is needed, although epididymitis is typically treated conservatively.…”

Section: Testicular Torsionmentioning

confidence: 99%

Ultrasonography of pediatric urogenital emergencies: review of classic and new techniques

Kitami

2017

Ultrasonography

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Urogenital emergencies are fairly common in the pediatric population, and a timely and correct diagnosis is necessary to avoid possible future infertility. In this field, ultrasonography is essential, as it has the advantages of being radiation-free and readily accessible. In particular, a high-frequency transducer allows precise evaluation of the morphology and vascularity of the scrotum, which is on the surface of the body. Beyond conventional techniques, new advanced imaging techniques have been developed, including elastography and contrast-enhanced ultrasonography. However, several pitfalls remain in the diagnosis of urogenital diseases using ultrasonography. Thus, accurate knowledge and sufficient experience with the technique are essential for making a correct diagnosis. This review provides an overview of pediatric urogenital emergency pathologies and recent ultrasonography techniques.

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Epididymitis in Children: Is Further Investigation Necessary after the First Episode?

Cited by 41 publications

References 20 publications

Infantile epididymitis with calcification

Infantile epididymitis with calcification

Epididimoorşitle Seyreden Bir Suçiçeği Olgusu, Bir Tesadüften Fazlası mı?

Ultrasonography of pediatric urogenital emergencies: review of classic and new techniques

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