Necrotizing Brucella Epididymoorchitis: Magnetic Resonance Imaging Findings

Abstract

Brucella epididymoorchitis (BEO) had been reported up to 20% of patients with brucellosis. Althought it has a good response to spesific antibiotherapy, the delay in diagnosis and in treatment may result in necrosis and abscess formation. Ultrasonography is the basic imaging method for screening of scrotal diseases such as BEO. In literature, there are many studies which present sonographic and magnetic resonance imaging (MRI) features of scrotal and testicular lesions. However; there is no any sufficient publication in which the findings of BEO have been defined on MRI examination. In this report, we presented a patient who had unilateral necrotizian epididymoorchitis and testicular abscess resulted from brucellosis with MRI findings and we also discussed the contribution of MRI to the management of the disease.