Sunday, December 4, 2011

Male pelvis rule 5 : Testicular torsion

1-High resolution ultrasonography with Doppler evaluation is used.
2-Findings:
-Enlarged testicle with diffuse hypo echoic pattern or it may be of multifocal hypo echoic areas.
-Many have normal testicular findings.
-Enlarged and hypo echoic epididymis.
-Scrotal skin thickening.
-Diagnosis was made by Doppler study of the blood flow reaching testicle.
-Scanning should be for at least one minute of duration without detection of blood flow reaching the testicle, or if there is a small single vessel in the symptomatic testicle when contralateral normal testicle shows diffuse flow.


Color flow images of both testicles in a patient with left sided scrotal pain shows no flow to the testicle especially when compared with normal flow on the asymptomatic contralateral side consistent with acute left testicular torsion.

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