"Fournier gangrene with testicular involvement"
Expected headings
"Ultrasonography"
"All case reports describe spontaneous sudden onset testicular pain which does not relieve with scrotal elevation. It is associated with local inflammation, i.e. swelling, reddening and local rise in temperature. There may be associated fever, leucocytosis, pyuria (pus in the urine) and bacteriuria."
"Hyperechoic foci within the testicular parenchyma showing posterior dirty shadowing and reverberation artifacts or a curved hyperechoic line conforming to the globular shape of testis is seen on high resolution ultrasound of scrotum suggesting the diagnosis. This hyperechogenicity needs to be differentiated from testicular microliths, sutures and foreign bodies. The presence of posterior dirty shadowing, reverberation artifacts and clinical profile help differentiate these entities. There may be an associated reactive hydrocele, funiculitis and scrotal wall thickening with increased vascularity."
"Hyperechoic foci within the testicular parenchyma showing posterior dirty shadowing and reverberation artifacts or a curved hyperechoic line conforming to the globular shape of testis is seen on high resolution ultrasound of scrotum suggesting the diagnosis. This hyperechogenicity needs to be differentiated from testicular microliths, sutures and foreign bodies. The presence of posterior dirty shadowing, reverberation artifacts and clinical profile help differentiate these entities. There may be an associated reactive hydrocele, funiculitis and scrotal wall thickening with increased vascularity."
"presence of gas within the subcutaneous plane with necrotising fasciitis of perineal, genital and perianal regions point towards this entity"