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Testicular Torsion

Sutcliffe JBS - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Testicular Torsion

History: Acute onset of left scrotal pain and swelling.

Findings: Figure 1 is a color Doppler ultrasound "buddy shot" image of both testicles which demonstrates blood flow within the parenchyma of the right testicle, but no flow in the parenchyma of the left testicle. Figure 2 is a power Doppler ultrasound image of the left testicle, which again demonstrates lack of flow in the left testicle. Color Doppler demonstrates direction and velocity of flow with red and blue colortones, but is less sensitive to flow than power doppler. Power Doppler is more sensitive to low-flow states, but simply demonstrates the presence or abscense of flow in one colortone without demonstrating direction or velocity of flow. When examining the testes for suspected torsion, it is important to compare right and left testes for relative flow, as flow may still be present but reduced in the torsed testicle, and comparison to the unaffected side will demonstrate relatively lower flow of the affected side. Also, as this case demonstrates, flow may be seen immediately adjacent to the torsed testicle, but lack of flow within the parenchyma of the testicle is strongly suggestive of torsion.

Ddx: Testicular (spermatic cord) torsion Torsion of testicular appendage Acute epididymitis Acute orchitis

Dxhow: Diagnosis was surgically confirmed.

Exam: Painful, retracted left testicle.

No MeSH data available.


Power Doppler demonstrates no blood flow within the parenchyma of the left testicle. Flow is seen peripheral to the testis, but not within the testis.
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MPX2609_synpic18385: Power Doppler demonstrates no blood flow within the parenchyma of the left testicle. Flow is seen peripheral to the testis, but not within the testis.


Testicular Torsion

Sutcliffe JBS - MedPix

Power Doppler demonstrates no blood flow within the parenchyma of the left testicle. Flow is seen peripheral to the testis, but not within the testis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2609&req=5

MPX2609_synpic18385: Power Doppler demonstrates no blood flow within the parenchyma of the left testicle. Flow is seen peripheral to the testis, but not within the testis.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Testicular Torsion

History: Acute onset of left scrotal pain and swelling.

Findings: Figure 1 is a color Doppler ultrasound "buddy shot" image of both testicles which demonstrates blood flow within the parenchyma of the right testicle, but no flow in the parenchyma of the left testicle. Figure 2 is a power Doppler ultrasound image of the left testicle, which again demonstrates lack of flow in the left testicle. Color Doppler demonstrates direction and velocity of flow with red and blue colortones, but is less sensitive to flow than power doppler. Power Doppler is more sensitive to low-flow states, but simply demonstrates the presence or abscense of flow in one colortone without demonstrating direction or velocity of flow. When examining the testes for suspected torsion, it is important to compare right and left testes for relative flow, as flow may still be present but reduced in the torsed testicle, and comparison to the unaffected side will demonstrate relatively lower flow of the affected side. Also, as this case demonstrates, flow may be seen immediately adjacent to the torsed testicle, but lack of flow within the parenchyma of the testicle is strongly suggestive of torsion.

Ddx: Testicular (spermatic cord) torsion Torsion of testicular appendage Acute epididymitis Acute orchitis

Dxhow: Diagnosis was surgically confirmed.

Exam: Painful, retracted left testicle.

No MeSH data available.