Does color Doppler sonography improve the clinical assessment of patients with acute scrotum?

Pepe, Pietro; Panella, P; Pennisi, Michele; Aragona, Francesco

doi:10.1016/j.ejrad.2006.04.016

Cited by 126 publications

(77 citation statements)

References 9 publications

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“…Other studies have also shown similarly high sensitivity (95.7-100%) and specificity (85.3-100%) for CDS in diagnosing testicular torsion. [26][27][28] However, CDS can be inaccurate and false-negatives can occur, especially in cases of early TT, intermittent torsion or incomplete torsion of the spermatic cord. Several studies have demonstrated arterial flow in affected testes, which were subsequently shown to be torted at surgery.…”

Section: Resultsmentioning

confidence: 99%

Surgical management of testicular torsion

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Surgical management of testicular torsion

et al. 2016

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“…It occurs mainly in the shoulder, chest and back, but rarely in the thyroid. The etiology of PTC-FLS is unknown; in 63% of cases there is a history of surgical trauma (6). Studies have demonstrated that one possible mechanism is that the stromal component is an exaggerated mesenchymal reaction to injuries resulting from tumor invasion into the stroma.…”

Section: Discussionmentioning

confidence: 99%

Papillary thyroid carcinoma with fibromatosis-like stroma: A case report and review of the literature

Chu

Fan

et al. 2012

Oncology Letters

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Abstract. Papillary thyroid carcinoma with fibromatosis-like stroma (PTC-FLS) is a rare type of thyroid carcinoma that does not receive adequate follow-up. This study describes a case of PTC-FLS on the right side of the neck. The patient consented to a right hemithyroidectomy with a central compartment lymphadenectomy. Pathological examination revealed that the two initial lesions were consis tent with benign histological performance. Using immunohistology, the proliferated stromal cells were revealed to be positive for vimentin and smooth muscle actin (SMA), but negative for thyroglobulin, S-100 and CK. Post-operative follow-up was scheduled at 3-month intervals for 2 years and then at 6-month intervals for the next 3 years. There were no signs of tumor recurrence at the 5-year follow-up.

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“…Physical examination and scrotal color doppler ultrasonography are the most preferred diagnostic methods. Since scrotal color doppler ultrasonography has a low probability of false positives, surgical exploration is essential for clinically suspected cases of torsion [8].…”

Section: Discussionmentioning

confidence: 99%

A rare complication after inguinal hernia repair: testicular torsion

Özsağır

Akça

Horsanalı

et al. 2019

The European Research Journal

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Testicular torsion is the most common urological emergency characterized by reduced blood flow of the testis, often due to spermatic cord torsion occurring in adolescence. A 68-year-old male patient admitted our hospital emergency service with the complaint of acute scrotal pain for a week. On history, he had undergone right inguinal hernia repair with synthetic mesh one week ago. Due to reduced blood flow of right testicular artery on colored doppler ultrasonography, emergent surgery was performed. On intraoperative examination, 360 degree torsion of spermatic cord from distal to the mesh, thrombosis of right testicular artery and necrosis of testicular tissue was observed. After detorsion of right testis, absence of blood supply to the right testis was observed. According to these findings, right inguinal orchiectomy was performed. It should be kept in mind that persistent pain may be a sign of testicular torsion which may develop early after inguinal hernia repair with synthetic polypropylene mesh. In suspicious of testicular torsion because of persistent scrotal pain after inguinal surgery, scrotal colored doppler ultrasonography must be performed immediately and consulted to the urologist. Succeed results may be provided by multidisciplinary approach and early treatment.

show abstract

Does color Doppler sonography improve the clinical assessment of patients with acute scrotum?

Cited by 126 publications

References 9 publications

Surgical management of testicular torsion

Surgical management of testicular torsion

Papillary thyroid carcinoma with fibromatosis-like stroma: A case report and review of the literature

A rare complication after inguinal hernia repair: testicular torsion

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