An Accurate Diagnostic Pathway Helps to Correctly Distinguish Between the Possible Causes of Acute Scrotum

Roth, Beat; Giannakis, I.; Ricklin, Meret E.; Thalmann, George N.; Exadaktylos, Aristomenis K.

doi:10.5001/omj.2018.10

Cited by 11 publications

(17 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Importantly, testicular cancer may present with sudden pain which is often associated with hemorrhage within the tumor, being a cause of acute scrotum in 4.3% of cases. [12] In this context, even if painful testicular enlargement is generally only infectious or inflammatory, Smith et al insist that any mass in the testicular body must be considered as a cancer until proven otherwise being that >95% of intratesticular masses are malignant. [13]…”

Section: Discussionmentioning

confidence: 99%

Segmental testicular infarction: Case series and brief literature review of a great mime

et al. 2019

View full text Add to dashboard Cite

Segmental testicular infarction is rare, and the etiology is mostly idiopathic. We report a case series of four young patients, one of them with metachronous bilateral disease, presenting with an acute scrotum and treated with a testis-sparing approach, if feasible, after a negative intraoperative biopsy. Etiology, differential diagnosis, and management are reviewed. To be aware of clinical and imaging features of this benign testicular pathology, it is crucial to avoid unnecessary orchiectomies to preserve vital testicular tissue left.

show abstract

Section: Discussionmentioning

confidence: 99%

Segmental testicular infarction: Case series and brief literature review of a great mime

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Irreversible damage to spermatogenic tissues can occur after 6 hours of testicular tissue ischemia [4]. Therefore, testicular torsion should be diagnosed as early as possible to facilitate testicular survival and protect spermatogenic function [5,6]. High frequency color Doppler ultrasonography is accepted to be the primary imaging method used in these cases [7,8]; however, some cases of incomplete testicular torsion can be unrecognized due to atypical sonographic findings [7,9].…”

Section: Introductionmentioning

confidence: 99%

Application value of real-time shear wave elastography in differential diagnosis of testicular torsion

Xue

Lin

et al. 2020

Med Ultrason

View full text Add to dashboard Cite

Aim: To evaluate the clinical value of real-time shear wave elastography (SWE) in differential diagnosis of testicular torsion and acute orchiditis.Material and methods: During a 3-year period, 14 cases of testicular torsion and 16 cases of acute orchiditis met the inclusion criteria. Young’s modulus maximum hardness (Emax) of testicular capsule region, middle testicular parenchyma, warped spermatic segment or inferior spermatic segment was measured in each group. SWE “stiff ring sign” of testis refers to the appearance of a red ring in the testicular capsule area and “stiff knot sign” of spermatic cord refers to the appearance of a red knot in the lower segment of the spermatic cord.Results: Emax value of the testicular capsule in the torsion group was higher than in the acute inflammation group (138.76±58.27 vs 16.40±4.71 kPa, p=0.0001). Emax value in the middle parenchyma of the testis showed no statistically significant difference between groups (p=0.053). Emax value in the twisted spermatic segment was higher than that in the lower spermatic segment with acute inflammation (166.61±60.07 vs 14.14±4.93, p=0.0001). In the torsion group, 12 testicular capsule areas showed “stiff ring sign” and all twisted segments of spermatic cord showed “stiff knot sign” but no signs were found in the inflammatory group.Conclusions: “Stiff ring sign” of testis, “stiff knot sign” of spermatic cord, high stiffness of the testicular capsule and in the twisted spermatic segment are the typical SWE findings of testicular torsion, with important clinical value in the differential diagnosis of testicular torsion and acute orchiditis.

show abstract

“…Acute epididymitis is classically described as slowly increasing pain with an average of 2–4 days from first symptoms to medical consultation. 4 , 7 Physical examination findings include unilateral swelling and tenderness of the epididymis which can range from mild epididymal tenderness to severe systemic disease. Clinical and laboratory findings include fever, erythema of the scrotal skin, leukocytosis > 11,000/mm 3 , elevated CRP, urethritis (>4 WBCs/hpf), and involvement of the adjacent testis.…”

Section: Discussionmentioning

confidence: 99%

Fournier’s gangrene mimicking an acute epididymitis

Larsen

Paige

Mutyala

et al. 2021

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

Fournier’s gangrene is a urologic emergency secondary to a necrotizing soft tissue infection. Fournier’s gangrene is characterized by severe pain and features of Fournier’s gangrene may include edema, blisters and bullae, crepitus, subcutaneous gas, and systemic symptoms. Risk factors include male gender, alcohol abuse, immunocompromised state, uncontrolled diabetes mellitus, obesity, and malignancy. The diagnosis is made clinically but is often supported by radiography, ultrasound, computed tomography, and magnetic resonance imaging. Treatment consists of emergent hospitalization and surgery to debride the necrotic tissues. Morbidity and mortality for Fournier’s gangrene are very high if left untreated. Early surgical intervention is key to the successful treatment of Fournier’s gangrene. This case report presents a case of Fournier’s gangrene mimicking acute epididymitis and highlights the importance of a thorough physical examination with high clinical suspicion for Fournier’s gangrene.

show abstract

An Accurate Diagnostic Pathway Helps to Correctly Distinguish Between the Possible Causes of Acute Scrotum

Cited by 11 publications

References 6 publications

Segmental testicular infarction: Case series and brief literature review of a great mime

Segmental testicular infarction: Case series and brief literature review of a great mime

Application value of real-time shear wave elastography in differential diagnosis of testicular torsion

Fournier’s gangrene mimicking an acute epididymitis

Contact Info

Product

Resources

About