1,908 results match your criteria: "Epididymitis Imaging"

Regulation of NHE3 subcellular localization in epididymal principal cells: pH, cyclic adenosine 3,5 monophosphate (cAMP), and adenosine signaling.

Andrology

December 2024

Faculty of Medicine, Department of Obstetrics, Gynecology and Reproduction, Centre Hospitalier Universitaire de Québec - Research Centre, and Centre de Recherche en Reproduction, Développement et Santé Intergénérationnelle - Université Laval, Québec, QC, Canada.

Introduction: The epididymis creates an optimal acidic luminal environment for sperm maturation and storage. In epididymal principal cells (PCs), proton secretion is activated by the accumulation of the sodium-proton exchanger type 3, NHE3 (SLC9A3), in apical stereocilia. PCs also secrete ATP, which is hydrolyzed into adenosine by ectonucleotidases.

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Article Synopsis
  • White adipose tissue (WAT) in mice can undergo a transformation known as "browning" when exposed to cold, resulting in the emergence of brown and beige adipocytes, which have distinct characteristics like dense mitochondria and multilocular lipid droplets.
  • Research aimed to analyze the changes in diffusion parameters (T2* values and anisotropy) in brown adipose tissue (BAT), inguinal WAT (iWAT), and epididymal WAT (epiWAT) after cold exposure compared to normal conditions.
  • The study revealed that T2* values in the control group’s epiWAT were significantly higher than in BAT and iWAT from the cold-exposed group, while specific eigenvalues showed
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Background General practitioners (GPs) often expedite indeterminate scrotal lumps for urological evaluation. While a scrotal examination by a urologist is crucial, ultrasound (US) has become a routine component of clinical assessment regardless of the clinical examination findings and the nature of the symptoms. This study aimed to evaluate the efficacy of clinical examination compared to scrotal ultrasound, even when the suspicion of cancer was low.

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PPARγ-dependent remodeling of translational machinery in adipose progenitors is impaired in obesity.

Cell Rep

November 2024

Department of Integrative Biology and Physiology, University of California, Los Angeles, Los Angeles, CA 90095, USA; Molecular Biology Institute, University of California, Los Angeles, Los Angeles, CA 90095, USA. Electronic address:

Adipose tissue regulates energy homeostasis and metabolic function, but its adaptability is impaired in obesity. In this study, we investigate the impact of acute PPARγ agonist treatment in obese mice and find significant transcriptional remodeling of cells in the stromal vascular fraction (SVF). Using single-cell RNA sequencing, we profile the SVF of inguinal and epididymal adipose tissue of obese mice following rosiglitazone treatment and find an induction of ribosomal factors in both progenitor and preadipocyte populations, while expression of ribosomal factors is reduced with obesity.

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[Use of clinical ultrasound in primary care: Scrotal pathology].

Semergen

December 2024

Departamento de Ecografía, Hospital San Francisco de Asís, Madrid, España; Medicina de Familia y Comunitaria, PAC Buitrago del Lozoya, Buitrago del Lozoya, Madrid, España; Facultad de Salud, Universidad Camilo José Cela, Madrid, España; Grupo de Trabajo de Ecografía de SEMERGEN, España.

Article Synopsis
  • Ultrasound is the top non-invasive method for diagnosing testicular issues, effectively distinguishing between causes of acute pain and swelling like epididymitis and testicular torsion.
  • It can detect and analyze masses inside and outside the testicle, especially when irregularities or swelling are present.
  • Proper training and knowledge of the technique's limits improve the interpretation of ultrasound results, helping in clinical decision-making.
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  • A case study discusses primary hypogonadism caused by prolonged use of amiodarone, a medication known for multiple side effects.
  • The patient, a 57-year-old man, experienced testicular pain, gynaecomastia, and decreased libido, ultimately diagnosed with hypergonadotropic hypogonadism and confirmed testicular atrophy.
  • The findings emphasize the need for careful monitoring of patients on amiodarone to detect signs of testicular dysfunction early, ensuring appropriate treatment for hypogonadism.
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Background Acute scrotum is a medical emergency commonly encountered in clinical practice, particularly in pediatric and adolescent populations. It is characterized by sudden onset of scrotal pain and may involve swelling, redness, or tenderness. The most common etiologies include testicular torsion, epididymo-orchitis, trauma, and, less frequently, tumors.

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Urethral obstruction in a ram with a periurethral abscess: clinical findings, diagnostic imaging and pathology.

BMC Vet Res

November 2024

Department of Internal Medicine, Reproduction and Population Medicine, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, Merelbeke, 9820, Belgium.

Background: Urethral obstruction is a common and life-threatening condition in male small ruminants.

Case Presentation: This case report describes a 3-year old 103 kg Zwartbles breeding ram, presented with the complaint of straining, suspected to have an urethral obstruction. The work-up included clinical examination, laboratory analyses, ultrasound imaging, (contrast) radiography and urine examination.

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Article Synopsis
  • This study investigates how effective ultrasounds are in diagnosing testicular torsion in children who have scrotal pain and swelling, involving 120 pediatric cases from 2017 to 2022.
  • Out of the diagnosed cases, the ultrasound showed no blood flow in 78 cases, and among patients treated, most had favorable outcomes regardless of the treatment method (manual reduction or surgery).
  • The results indicate that ultrasound diagnosis has high sensitivity (95.24%) and accuracy (89.29%), highlighting its importance in early diagnosis and treatment for better patient outcomes.
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Sertoli cell tumors are a rare subtype of testicular tumors. This report describes a 55-year-old male who presented with scrotal pain and a palpable mass. Diagnostic imaging revealed a hypoechoic mass in the left epididymis and a hyperechoic mass in the right testis.

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  • Ejaculatory duct obstruction (EDO) is a rare condition that can lead to male infertility, and a case study highlights a 28-year-old male diagnosed with obstructive azoospermia after a fertility check-up.
  • Diagnostic imaging, including transrectal ultrasonography and MRI, revealed enlarged seminal vesicles and calcified ejaculatory ducts, prompting surgical interventions that did not resolve the azoospermia.
  • Ultimately, the patient underwent a different assisted reproductive technique, which successfully led to pregnancy, showcasing the complexity of diagnosing and treating EDO.
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  • This case report focuses on a rare instance of perforated appendicitis that presented as a left-sided scrotal abscess in a 3.5-year-old boy, who also showed signs of fever and abdominal pain.
  • Ultrasound imaging revealed an enlarged left epididymis and pelvic abscess, leading to the diagnosis of perforated appendicitis.
  • The findings highlight the need for careful diagnosis between genitourinary and gastrointestinal conditions in children, stressing the importance of timely imaging and surgical treatment to avoid complications.
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Article Synopsis
  • - *Intravascular lobular capillary hemangioma (ILCH) is a rare benign vascular lesion characterized by a unique lobular capillary structure, mostly found in the head, neck, and upper limbs.* - *A 68-year-old male was misdiagnosed with a testicular tumor based on imaging, but further evaluation revealed that he actually had ILCH in the epididymis.* - *This case highlights the diagnostic difficulties of ILCH, as it can easily be mistaken for more serious malignancies due to its atypical presentation.*
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Aglycone Analysis and Quantitative Tracking of Correlated Terminal Glycan Pair on Spermatozoa.

Anal Chem

October 2024

State Key Laboratory of Analytical Chemistry for Life Science, School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210023, China.

Mammalian sperm glycans directly mediate several key life events. However, previous studies have not focused on two key factors that regulate these processes, the terminal glycan pattern and the anchoring sites. Herein, we group the capping monosaccharide sialic acid (Sia) and its capping substrates galactose/-acetylgalactosamine (Gal/GalNAc) into a "correlated terminal glycan pair" (glycopair) and, for the first time, reveal the differences in the aglycone pattern of this pair on spermatozoa using glyco-selective in situ covalent labeling techniques.

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Human islets can be transplanted into the portal vein for T1 diabetes, and a similar procedure is being used in a clinical trial for stem cell-derived beta-like cells. Efforts have been underway to find an alternative transplant site that will foster better islet cell survival and function. Although conceptually attractive, the subcutaneous (SC) site has yielded disappointing results, in spite of some improvements resulting from more attention paid to vascularization and differentiation factors, including collagen.

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Background: Rete testis dysplasia is a cystic anomaly arising from the rete testis presenting normally in the pediatric population. These cases usually regress spontaneously without the need for surgical intervention. There are rare, reported cases of rete testis dysplasia in adulthood, which have been managed surgically.

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The manifestation of a giant ovarian yolk sac tumor during late pregnancy is relatively rare. A yolk sac tumor is a highly malignant germ cell tumor that originates from primitive germ cells. It is characterized by yolk sac differentiation .

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The innovative techniques in ultrasound have added a new dimension to investigating superficially located areas such as the contents of the scrotal sac. High frequency transducers, improved technology with the addition of elastography, contrast enhanced ultrasound and microvascular imaging has resulted in a further improvement in diagnostic capabilities. The ability to clearly demonstrate the presence or absence of vascularity within the area under investigation adds an additional dimension to operator confidence in establishing the presence of infarction, global or segmental, or the walls and cavity of an abscess in the testis or epididymis.

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Article Synopsis
  • Obstructive sleep apnea (OSA) impacts nearly 1 billion people globally, causing chronic intermittent hypoxia (CIH) that leads to organ damage, especially affecting the heart and visceral white adipose tissue (WAT).
  • The study aimed to explore if CIH causes premature senescence in visceral WAT, which in turn may trigger changes in heart structure and function.
  • Results showed that CIH caused significant changes in WAT and early signs of heart damage, but these effects could be mitigated through surgical removal of fat tissue or deletion of specific genes, highlighting visceral WAT senescence as a promising target for combating OSA-related issues.
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Scrotoliths, or "scrotal pearls," are calcified fibrous loose bodies found within the tunica vaginalis, often seen during radiological evaluation or autopsies. Chronic inflammation due to trauma, parasitic infestations, and torsion and subsequent detachment of the appendices of the testis or epididymis are postulated mechanisms suggested for their formation. They are benign but can mimic a tumor.

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[Acute scrotum in children].

Lakartidningen

September 2024

docent, biträdande överläkare, barn- och ungdomskirurgiska kliniken, Skånes universitetssjukhus Lund.

Acute scrotum in a child is common, and the main underlying conditions are torsion of intrascrotal appendages, epididymitis, testicular torsion and idiopathic scrotal edema. The main diagnostic aim is to confirm or rule out testicular torsion, since this may lead to irreversible ischemia within hours. The diagnostics can be difficult, especially in prepubertal boys, but consist of a thorough history and clinical examination, the use of a clinical prediction score, and sometimes ultrasound with doppler.

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Zexie-Baizhu Decoction ameliorates non-alcoholic fatty liver disease through gut-adipose tissue crosstalk.

J Ethnopharmacol

January 2025

National Engineering Research Center of TCM Standardization Technology, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, 201203, China; University of Chinese Academy of Sciences, Beijing, 100049, China; School of Chinese Materia Medica, Nanjing University of Chinese Medicine, Nanjing, 210029, China. Electronic address:

Article Synopsis
  • Zexie-Baizhu Decoction (AA) is a traditional Chinese medicine formula used for metabolic disorders, particularly non-alcoholic fatty liver disease (NAFLD), but its mechanisms on gut and fat tissue are not fully understood.
  • The study aimed to explore how AA impacts gut and adipose tissue homeostasis in the context of NAFLD using various scientific methods, including RNA sequencing and lipidomics.
  • Results showed that AA significantly reduced liver damage and fat accumulation by promoting healthy gut bacteria, restoring bile acid and short-chain fatty acid levels, and activating specific receptors in adipose tissue that help break down fats.
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  • A 71-year-old man developed severe pneumonia and pulmonary abscesses after experiencing epididymitis due to an infection with extended spectrum β-lactamase-producing hypervirulent Klebsiella pneumoniae (ESBL-hvKp), a drug-resistant bacteria.
  • The patient initially received anti-infection treatment but failed to respond, leading to a need for prolonged therapy, which he ultimately chose to discontinue.
  • This case highlights how an infection starting from the epididymis can spread through the bloodstream, causing severe lung complications and posing significant treatment challenges.
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