Scintiscan for acute intrascrotal conditions.

Abstract:

:The efficacy and merit of testicular imaging, utilizing Tc-99m pertechnetate, were studied prospectively in a group of patients who presented with acute onset of scrotal pain. Consecutive admissions were studied. All were managed according to the likelihood of the problem being testicular torsion, which was determined from the clinical history, physical examination and the routine laboratory data. The final diagnostic outcome, whether by surgical exploration or clinical progress with conservative treatment, is collated with the preoperative scintigraphic interpretations, made with respect to predefined criteria. Analysis of the pretreatment images obtained in 57 patients shows that the radionuclide study is highly reliable in cases of testicular torsion and epididymo-orchitis. It appears to be much less dependable, however, in the other acute scrotal conditions. Torsions that are intermittent in nature or corrected manually apparently can have variable presentations. Certain difficulties and potential pitfalls encountered in interpreting the scintigraphic studies are discussed.

journal_name

Clin Nucl Med

authors

Dunn EK,Macchia RJ,Chauhan PS,Laungani GB,Solomon NA

doi

10.1097/00003072-198606000-00002

subject

Has Abstract

pub_date

1986-06-01 00:00:00

pages

381-8

issue

6

eissn

0363-9762

issn

1536-0229

journal_volume

11

pub_type

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