{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:18:04Z","timestamp":1788430684824,"version":"build-2803163510"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Epididymo-orchitis usually responds to antibiotics, yet a small subset of patients progress to testicular infarction, a rare but serious complication. We describe a 73-year-old man with epididymo-orchitis and a pyocele whose initial ultrasound demonstrated reversal of diastolic intratesticular flow, in keeping with impending infarction. Despite transient improvement with antibiotics, he re-presented on day 8 with recurrent pain and near-complete infarction on repeat ultrasound, with persistent reversed diastolic flow in regions of preserved vascularity. This case highlights reversal of diastolic flow as a radiological red flag in epididymo-orchitis and suggests practical recommendations for Doppler assessment, early repeat imaging, and urgent urological review.<\/jats:p>","DOI":"10.1093\/bjrcr\/uaag028","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T15:07:34Z","timestamp":1784646454000},"source":"Crossref","is-referenced-by-count":0,"title":["Reversal of diastolic flow in epididymo-orchitis: a red flag for impending testicular infarction"],"prefix":"10.1093","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0451-2295","authenticated-orcid":false,"given":"Yilin","family":"Liu","sequence":"first","affiliation":[{"name":"The University of Melbourne Faculty of Medicine, Dentistry & Health Sciences, , Melbourne, Victoria 3010,","place":["Australia"]},{"name":"Medical Imaging Department, St Vincent\u2019s Hospital Melbourne , Melbourne, Victoria 3065,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arpit","family":"Talwar","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, St Vincent\u2019s Hospital Melbourne , Melbourne, Victoria 3065,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"2026090305470710400_uaag028-B1","doi-asserted-by":"publisher","first-page":"744","DOI":"10.1177\/0956462417699356","article-title":"The 2016 European guideline on the management of epididymo-orchitis","volume":"28","author":"Street","year":"2017","journal-title":"Int J STD AIDS"},{"key":"2026090305470710400_uaag028-B2","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1016\/S0022-5347(17)63468-2","article-title":"Epididymitis: a review of 610 cases","volume":"95","author":"Mittemeyer","year":"1966","journal-title":"J 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