Acute filarial funiculo- epididymo- orchitis

Aetiology: is due to lymphatic obstruction by filarial parasite (Wuchereria Bancrofti) with secondary streptococcal infection (blood borne).

PATHOLOGY

Four pathological types are described:

Acute catarrhal type:

The spermatic cord is acutely inflamed. The cord tissues are infiltrated by inflammatory exudates and cells. As a result; the cord is thickened. The cord structures are matted together and feel like a lead pipe. The cord structures including the vas can not be felt separate.

Acute suppurative type

is similar to the non-filarial type but the swelling is more extensive and reach to the inguinal canal. Suppuration occurs, both diffuse cellulites and abscesses.

Acute gangrenous type: The arteries and veins are thrombosed, and this cause sloughing of the testis.

Acute fulminating type: Is like the gangrenous type but with more severe toxaemia that could be fatal even before the local pathology is well established.