Gray-scale and power Doppler sonographic appearances of acute inflammatory diseases of the scrotum

Farriol, Victoria Garriga; Comella, Xavier Pruna; Agromayor, Elena Gallardo; Crèixams, Xavier Serres; Torre, Ignasi Barber Martinez de la

doi:10.1002/(sici)1097-0096(200002)28:2<67::aid-jcu2>3.0.co;2-6

Cited by 50 publications

(20 citation statements)

References 11 publications

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“…In the last few years, ultrasound has become the most important examination device in all types of paediatric scrotal pathology [9][10][11][12][13][14][15][16][17][18]. This is mainly due to the excellent imaging of anatomic details and perfusion as well as the advantage of real-time examination.…”

Section: Discussionmentioning

confidence: 99%

Acute testicular torsion in children: the role of sonography in the diagnostic workup

et al. 2006

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Acute testicular torsion in children is an emergency and has to be diagnosed urgently. Doppler sonography is increasingly used in imaging the acute scrotum. Nevertheless, in uncertain cases, surgical exploration is required. In this study, we attempted to define the role of Doppler sonography in the diagnostic workup of the acutely painful scrotum. All patients admitted between 1999 and 2005 with acute scrotal pain were included. After clinical assessment, patients were imaged by Doppler sonography with a ''high-end'' instrument. In cases of absent arterial perfusion of the testis in Doppler sonography, surgical exploration was carried out. Patients with unaffected perfusion were followed clinically by ultrasound for up to 2 years. Sixty-one infants and children aged 1 day to 17 years (median: 7.9 years) were included. In 14 cases, sonography demonstrated absent central perfusion, with abnormal parenchymal echogenicity in six. Absence of venous blood flow together with reduction of central arterial perfusion was found in one infant. In these 15 patients, surgical exploration confirmed testicular torsion. Among the other 46 patients, we found four cases with increased testicular perfusion and 27 with increased perfusion of the epididymis. In one infant, a testicular tumour was found sonographically, and orchiectomy confirmed diagnosis of a teratoma. Follow-up examinations of the conservatively treated patients showed good clinical outcome with physiologic central perfusion as well as normal echogenic pattern of both testes. No case of testicular torsion was missed. By means of Doppler sonography, an unequivocal statement regarding testicular perfusion was possible in all cases. The initial Doppler diagnosis was confirmed by operative evaluation and follow-up ultrasound. Testicular torsion can therefore be excluded by correctly performed ultrasound with modern equipment.

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Section: Discussionmentioning

confidence: 99%

Acute testicular torsion in children: the role of sonography in the diagnostic workup

et al. 2006

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“…Gray-scale US findings are nonspecific, but acute epididymo-orchitis is the most common disorder with this combination of findings. Farriol et al (53) reported 11 of 20 cases with enlargement and heterogeneous echogenicity of the epididymis, testes, or both in inflammatory scrotal diseases. Orchitis is characterized by edema of the testes contained within a rigid tunica albuginea, resulting in heterogeneous echogenicity (54).…”

Section: Epididymo-orchitismentioning

confidence: 99%

Sonography of the Scrotum

Dogra¹,

Gottlieb²,

Oka³

et al. 2003

Radiology

621

555

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Ultrasonography (US) with a high-frequency (7.5-10-MHz) transducer has become the imaging modality of choice for examination of the scrotum. US examination can provide information valuable for the differential diagnosis of a variety of disease processes involving the scrotum that have similar clinical manifestations (eg, pain, swelling, or presence of mass). The pathologic condition that may be at the origin of such symptoms can vary from testicular torsion to infection to malignancy. The ability of color and power Doppler US to demonstrate testicular perfusion aids in reaching a specific diagnosis in patients with acute scrotal pain. This review covers the anatomy of the scrotum and the scanning protocol for scrotal US, as well as detailed descriptions of disease processes and their US appearances. Newly described conditions such as intratesticular varicoceles and other benign intratesticular cystic lesions are also discussed.

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“…Various literatures. [4,5,[10][11][12] reveal that the incidence of funiculitis and scrotal wall cellulitis ranges from 7.14% to 8% and 3.1% to 7.5% respectively. These slight higher levels in our study is probably because of very careful clinicoradiological evaluation of the scrotum.…”

Section: Scrotal Wall Cellulitismentioning

confidence: 99%

Evaluation of Scrotal Pathology by High Resolution Ultrasound and Colour Doppler

Biswas¹,

De²

2017

jemds

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BACKGROUNDClinical diagnosis of a scrotal swelling is not straightforward. It is often difficult to decide whether a palpable scrotal m ass is intratesticular or extratesticular. Moreover, the clinical examination may over look significant pathology and physical signs elicited may be improperly interpreted. The sonogram with high frequency linear transducer and colour Doppler is invaluable in evaluating scrotum and its contents. Sonography is simple to perform, rapid, non-invasive, relatively inexpensive, easily reproducible, widely available and does not expose the gonads to radiation. Aim and Objective-To evaluate various scrotal pathologies using ultrasonography and to describe the role of high resolution ultrasound and colour Doppler in their diagnosis.

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Gray-scale and power Doppler sonographic appearances of acute inflammatory diseases of the scrotum

Cited by 50 publications

References 11 publications

Acute testicular torsion in children: the role of sonography in the diagnostic workup

Acute testicular torsion in children: the role of sonography in the diagnostic workup

Sonography of the Scrotum

Evaluation of Scrotal Pathology by High Resolution Ultrasound and Colour Doppler

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