Suspected testicular torsion and ischemia: evaluation with color Doppler sonography.

Burks, D D; Markey, B J; Burkhard, T K; Balsara, Z N; Haluszka, Mary M.; Canning, Douglas A.

doi:10.1148/radiology.175.3.2188301

Cited by 194 publications

(77 citation statements)

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“…Diagnostic difficulty may arise in normal pre-pubescent testis where vasculature may not be visible even with power Doppler [11]. Colour Doppler exhibits 82 % sensitivity and 100 % specificity for torsion [12]. The diagnosis may be further Fig.…”

Section: Torsion Of the Spermatic Cordmentioning

confidence: 99%

A review of ultrasound imaging in scrotal emergencies

Yusuf

Sidhu

2013

J Ultrasound

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Scrotal emergencies represent a small proportion of admissions to the emergency department; however, the intimate nature and potential for serious outcome often cause great anxiety. Rapid assessment is required to exclude fertility-threatening conditions and expedite surgical management. Ultrasound is an essential tool in acute scrotal assessment as it allows rapid, radiation-free, highresolution imaging and, importantly, assessment of vascularity with colour Doppler imaging. In the presentation of the acute scrotum, the ''on-call'' practitioner will frequently be asked to exclude pathology requiring surgical management, in particular torsion of the spermatic cord. To provide an accurate evaluation the individual is required to have an understanding of scrotal anatomy, sonographic technique and recognition of pathology. This review article will familiarise the reader with the sonographic findings of common acute scrotal pathology.Sommario Le emergenze scrotali rappresentano una piccola percentuale di accessi al pronto soccorso, ma la natura intima e la possibilità di esiti seri sono spesso causa di grande ansia. E' necessaria una valutazione rapida, al fine di escludere condizioni di pericolo per la fertilità e accelerare il trattamento chirurgico. L'ecografia è uno strumento essenziale per la valutazione dello scroto acuto in quanto rapida, esente da radiazione, ad alta risoluzione e, soprattutto, permette la valutazione della vascolarizzazione con colour Doppler. Nello scroto acuto l'ecografista spesso verrà chiamato a escludere patologie che richiedono un trattamento chirurgico, in particolare la torsione del funicolo spermatico. Al fine di fornire una valutazione precisa è tenuto ad avere una conoscenza dell'anatomia scrotale, della tecnica ecografica e a conoscere le varie patologie. Questo articolo di revisione ha lo scopo di familiarizzare il lettore con gli aspetti ecografici della patologia scrotale acuta più frequente.

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Section: Torsion Of the Spermatic Cordmentioning

confidence: 99%

A review of ultrasound imaging in scrotal emergencies

Yusuf

Sidhu

2013

J Ultrasound

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“…Torsion pain increases after testicular elevation. At present, scrotal color Doppler ultrasonography is used in the diagnosis together with anamnesis and physical examination [9]. However, radionuclide imaging can be performed [10].…”

Section: Discussionmentioning

confidence: 99%

Unilateral testicular torsion following ejaculation by manual sexual stimulation in an adolescent: A case report

Yagli

Gökkaya

2018

j-pucr

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A B S T R A C TTesticular torsion is one of the most common causes of acute scrotum in children and adolescents. The bell-clapper deformity, which detected in 12% of males, is the most important reason that leads to testicular torsion. In our case, a 14 years old male admitted to our clinic due to testicular torsion developed after ejaculation with manual sexual stimulation of the penis. The most important criteria in determining the loss of testis is the degree and duration of torsion. Here, we discussed the rare cause of testicular torsion along with diagnostic and therapeutic characteristics.

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“…This allows comparison of texture and perfusion easily. Immediate surgical exploration should be performed already at suspicion of testicular torsion [6,18,19]. An ischemic testicle may be rotated back into position and pexied, whereas an overt necrotic one has to be removed [20].…”

Section: Discussionmentioning

confidence: 99%

Perinatal testicular torsion—An emergency with grave consequences

Doll¹,

Erkel²,

Erhart³

et al. 2013

CRCM

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Introduction: Perinatal testicular torsion is not a frequent, but a grave finding finding. As only immediate surgical retorsion may save the viability of the testicle, time is of essence. We report the case of a newborn where delayed diagnosis led to an unnecessary loss of one testicle. Presentation of Case: The newborn was presented one day after delivery with a swollen left blue scrotal pouch. The left testicle was little tender, higher in position and enlarged. Ultrasound revealed a globular, enlarged testicle left, showing hypodense necrotic areas within. Doppler sound could not detect any perfusion of the spermatic vessels. Scrotal fluid was present bilaterally. At operation, the testicle was considered unsalvageable, and left orchiectomy and right orchidopexy were performed. Discussion: In the newborn, it is more than convenient to perfom ultrasound of both testicles at the same time, which allows to compare texture and perfusion easily. Immediate surgical exploration should be performed at any time, even if in diagnostic doubt. The very most important step though is to professionally recognise and to react to this pediatric emergency, as time is of paramount essence. Conclusion: A case of a male newborn with unilateral perinatal testicular torsion is presented, where typical clinical signs and ultrasound features can be seen. Early exploration with orchiectomy of the necrotic testicle and orchidopexy of the healthy side may save the endocrine function and fertility.

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Suspected testicular torsion and ischemia: evaluation with color Doppler sonography.

Cited by 194 publications

References 0 publications

A review of ultrasound imaging in scrotal emergencies

A review of ultrasound imaging in scrotal emergencies

Unilateral testicular torsion following ejaculation by manual sexual stimulation in an adolescent: A case report

Perinatal testicular torsion—An emergency with grave consequences

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