Significant Predictors for Determination of Testicular Rupture on Sonography

Abstract

Among the useful sonographic criteria, contour irregularity is the only significant predictor for the diagnosis of testicular rupture in patients with blunt scrotal trauma.

Role of contrast enhanced ultrasound in acute scrotal diseases

“…The major flaw of US is in the detectability of blood flow, which can dependent on the patient's age, testicular volume, and the equipment available [16,17]. Moreover, in trauma direct visualisation of the fracture line is rare and seen in only 17% of cases, so the grade of impairment of the testicular parenchyma is based on secondary findings [18][19][20][21][22].…”

Imaging of the scrotum: role of MRI

“…A ruptured tunica albuginea is an indication for exploratory surgery [28][29][30][31][32]. In two patients with this finding but with intact capsular arteries on CDUS, we opted for conservative treatment, with good long-term results, as confirmed by follow-up MRI (Fig.…”

Seminoma presented as testicular rupture: Case report and literature review

“…4 Kim and colleagues demonstrated that loss of definition of the tunica albuginea is the only significant predictor for the diagnosis of testicular rupture in patients with blunt scrotal trauma. 5 There have only been 5 cases of testicular tumour rupture described in the literature in the last 60 years (Table 1). In our case, the patient had a history of a trivial trauma 24 hours before his presentation and did not have any metastasis on the staging imaging.…”