Acute Scrotal Emergencies

Bourke, Molly M.; Silverberg, Joshua Z.

doi:10.1016/j.emc.2019.07.002

Cited by 13 publications

(15 citation statements)

References 50 publications

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“…Isolated urological trauma can be divided into blunt or sharp penetrating injuries, bites, burns, and scrotal avulsion [1] . What happens when the patient reports a penetrating trauma to the scrotum but we are unable to detect any clinical signs of entering in the scrotum?…”

Section: Introductionmentioning

confidence: 99%

Ultrasound of a patient with penetrating scrotal trauma: finding a needle in a haystack

Pavia

Fabiani

Principi

et al. 2021

Radiology Case Reports

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We present a case of a 27-year-old man who referred to the Emergency Department complaining scrotal pain. He mentioned a sharp penetrating scrotal trauma occurred at work. Clinical examination showed mild scrotal tenderness. The patient underwent scrotal ultrasound that showed only a suspicious foreign body in the tunica vaginalis. A scrotal surgical exploration was performed and a nail was confirmed at the level of the tunica vaginalis.

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Section: Introductionmentioning

confidence: 99%

Ultrasound of a patient with penetrating scrotal trauma: finding a needle in a haystack

Pavia

Fabiani

Principi

et al. 2021

Radiology Case Reports

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“…The acute scrotum is defined as acute onset of scrotal pain with or without tenderness and swelling [1]. The common diseases involved with acute scrotum are testicular appendageal torsion, epididymitis, and testicular torsion [2]. Among the aforementioned diseases associated with acute scrotum, testicular torsion is the most important disease because testicular torsion needs surgical intervention to save the testis, whereas for other diseases of acute scrotum, nonsurgical medical treatment may be enough [3].…”

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confidence: 99%

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confidence: 99%

“…Scrotum ultrasound has been widely used for diagnosis of the causes of acute scrotum [1][2][3][4]. Almost all diseases involved with acute scrotum can be diagnosed by ultrasound [1][2][3][4]. The grayscale and color Doppler ultrasound (CDU) modes are effective in helping to make or exclude the diagnosis of testicular torsion [4].…”

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confidence: 99%

“…The grayscale and color Doppler ultrasound (CDU) modes are effective in helping to make or exclude the diagnosis of testicular torsion [4]. The ultrasonographic appearances of testicular torsion are normal echogenicity or diffuse hypoechogenicity of testis, a torsed spermatic cord like whirlpool sign, scrotal edema, reactive hydoceles, and reduced or absence of blood flow in the testis detected by CDU [1][2][3][4][5]. Among the aformentioned ultrasonographic features for diagnosis of testicular torsion, the absence of blood flow in testis detected by CDU is the most used ultrasonographic finding for diagnosis of testicular torsion [1][2][3][4][5].…”

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confidence: 99%

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Absent Blood Flow in the Testis on Color Doppler Ultrasound: The Causes, Differential Diagnosis and Clinical Value

Chen¹,

Chen²

2020

Advanced Ultrasound in Diagnosis and Therapy

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To investigate the causes, differential diagnosis, and clinical significance of absent blood flow (ABF) in the testis detected by color Doppler ultrasound (CDU) in acute scrotum.Methods: A total of 263 patients with ABF in the testis detected by CDU in our hospital were reviewed retrospectively. However, only 111 patients who underwent surgery were included in this study. The ultrasonographic features of the testis and paratesticular tissue were analyzed. The surgical or surgical-pathologic results were taken as the reference standard to determine the causes of ABF in the testis. Results:The causes of ABF in the testis were testicular torsion (n = 98, torsion group) and non-testicular torsion related diseases (n = 13, non-torsion group, including 8 testicular rupture, 3 epididymitis-orchitis combination with testicular necrosis, and 2 tumors). Tunica albuginea of the testis, diffuse enlarged epididymis, whirlpool sign, and internal echo of the testis were the better parameters for diagnosing the causes of ABF in the testis detected by CDU. And the accuracies of these approaches were 93.7%, 91%, 83.8%, and 81.1%, respectively. Whirlpool sign had a 100% positive predictive value (PPV), and disrupted tunica albuginea of the testis and diffuse enlarged epididymis each had 100% specificity for predicting testicular torsion. When the ultrasonographic findings were combined with these methods to determine the causes, the accuracy was 96.4% (107/111). Conclusion:ABF in the testis detected by CDU is not always indicative of testicular torsion in acute scrotum; Analyzing ultrasound findings of the testis and paratesticular tissue can help with differential diagnosis of the causes of ABF in the testis and guide clinical decision-making.

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Andrological Emergencies

Palumbo

Sebastiani

Crocerossa

et al. 2022

Practical Clinical Andrology

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Introduction: Andrological emergencies include a wide array of acute genital injuries which require immediate care from the specialist. Missing or delaying treatment often results in permanent loss of function or, in some cases, loss of the affected organ itself.Evidence acquisition: A comprehensive bibliographic search of PubMed database with up-to-date existing reviews and case reports was performed.Objective: This chapter aims to review major andrological emergencies with peculiar attention to clinical presentation and practical management in order to provide the specialist with reliable information to keep in mind when confronting these challenging occurrences.

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Acute Scrotal Emergencies

Cited by 13 publications

References 50 publications

Ultrasound of a patient with penetrating scrotal trauma: finding a needle in a haystack

Ultrasound of a patient with penetrating scrotal trauma: finding a needle in a haystack

Absent Blood Flow in the Testis on Color Doppler Ultrasound: The Causes, Differential Diagnosis and Clinical Value

Andrological Emergencies

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