Intratesticular foreign body

Case contributed by Mohammad walid Ahmad Amin
Diagnosis certain

Presentation

The patient presented with scrotal pain, without skin defect or redness.

Patient Data

Age: 25 years
Gender: Male
x-ray

There is a radio-opaque shadow noted at the right testicular shadow.

ultrasound

There is a well-defined hyperechoic intratesticular structure noted in the upper portion of the right testis, measuring about 0.25 cm in maximum length, with posterior acoustic shadowing and reverberation artifact suggesting a highly reflective foreign body.

Multiple non-shadowing scattered echogenic testicular foci suggest microlithiasis.

Case Discussion

The patient underwent surgical scrotal exploration, and a metallic fragment was removed.

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