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Testicular Torsion

Shogan PJS - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Testicular Torsion

History: 20 year old male with two hour history of a swollen left testicle and pain.

Findings: Realtime gray-scale, color-flow, and pulsed Doppler sonographic evaluation of the testes was performed using a 12 MHz high-frequency linear transducer. Images reveal absent perfusion to the left testicle on both color and power Doppler techniques. The left testicle is mildly enlarged measuring 4.5 cm craniocaudad x 2.8 cm AP x 3.0 cm transverse, and there is a large left-sided hydrocele. The right testicle measured 3.5 cm craniocaudad x 2.2 cm AP x 2.8 cm transverse (images not shown). The echotexture of the testes is normal, as are the right testis vascular waveforms. The twisted left spermatic cord is seen as a tubular homogeneous extratesticular mass with minimal blood flow. There is scrotal wall thickening.

Ddx: Testicular Torsion

Dxhow: Imaging findings are characteristic.

No MeSH data available.


Color Doppler sonographic image through the testes reveals absent perfusion to the left testicle.
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MPX1157_synpic47453: Color Doppler sonographic image through the testes reveals absent perfusion to the left testicle.


Testicular Torsion

Shogan PJS - MedPix (2009)

Color Doppler sonographic image through the testes reveals absent perfusion to the left testicle.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1157&req=5

MPX1157_synpic47453: Color Doppler sonographic image through the testes reveals absent perfusion to the left testicle.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Testicular Torsion

History: 20 year old male with two hour history of a swollen left testicle and pain.

Findings: Realtime gray-scale, color-flow, and pulsed Doppler sonographic evaluation of the testes was performed using a 12 MHz high-frequency linear transducer. Images reveal absent perfusion to the left testicle on both color and power Doppler techniques. The left testicle is mildly enlarged measuring 4.5 cm craniocaudad x 2.8 cm AP x 3.0 cm transverse, and there is a large left-sided hydrocele. The right testicle measured 3.5 cm craniocaudad x 2.2 cm AP x 2.8 cm transverse (images not shown). The echotexture of the testes is normal, as are the right testis vascular waveforms. The twisted left spermatic cord is seen as a tubular homogeneous extratesticular mass with minimal blood flow. There is scrotal wall thickening.

Ddx: Testicular Torsion

Dxhow: Imaging findings are characteristic.

No MeSH data available.