Color Doppler US in the evaluation of acute scrotal disease.

Abstract:

:Twenty-seven patients presented with painful acute scrotal swelling. After a clinical impression was established, all patients underwent diagnostic imaging with color Doppler ultrasound (US). Seven patients underwent surgical exploration for testicular torsion diagnosed with color Doppler US (100% operative confirmation), one underwent radical orchiectomy for treatment of seminoma, and one underwent orchidopexy for treatment of a freely mobile testis. Eighteen patients were treated for nonoperable conditions. Diagnoses made with color Doppler US correlated with final clinical diagnoses in all patients. In 10 of 27 patients (38%), the diagnosis was established at color Doppler US. Until now, nuclear scanning has had a paramount role in the evaluation of equivocal cases of acute scrotal disease. Results show that color Doppler US helps accurately correlate anatomy and perfusion in real time and may prove to be the definitive imaging technique for the diagnostic evaluation of acute scrotal pain or swelling.

journal_name

Radiology

journal_title

Radiology

authors

Lerner RM,Mevorach RA,Hulbert WC,Rabinowitz R

doi

10.1148/radiology.176.2.2195590

subject

Has Abstract

pub_date

1990-08-01 00:00:00

pages

355-8

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

176

pub_type

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