The first part presents fundamentals on vascularization and normal doppler. The author, date and country of publication, patient group studied, study type. This poster was originally presented at the seram 2012 meeting, may 2428, in granadaes. Combining bmode and power doppler imaging facilitates a fast reliable diagnosis. Scrotal injuries can cause lesions that vary widely in severity, semiotics, and treatment. The purpose of our study was to determine the size and appearance of normal and torsed testicular appendages on color doppler sonography. Sonographic appearances of the epididymis in boys with acute testicular torsion but preserved testicular blood flow on color doppler. Fortunately, this entity is relatively well known, and it usually occurs with enough discomfort to lead to its diagnosis and subsequent testicular salvage. Testicular torsion is an acute vascular event causing the. Testicular doppler resistive index parameter as predictor test for male infertility hassan alnaffakh,fibms,dmrd rad. Oct 24, 2019 diagnostic imaging, particularly doppler ultrasonography, plays an important role in the assessment of patients with acute scrotal pain. If the history and physical examination strongly suggest testicular torsion and detorsion procedures do not work, the patient should undergo surgery without any delays to perform imaging studies. Lecturer in faculty of medicine, kufa university, radiologist in alsadder teaching hospital, najaf, iraq. Eighty adult patients with acute scrotal pain were evaluated during a oneyear period using the doppler ultrasonic stethoscope.
O estudo doppler colorido demonstrou vascularizacao habitual. Testicular torsion, also termed torsion of the spermatic cord, is a relatively common and potentially devastating acute condition resulting from obstruction of the arterial blood supply to the testis. Knowledge of the normal color doppler appearance and waveform characteristics of the testicular artery should aid in diagnosing scrotal conditions that alter blood flow. Varicocele is the dilatation of the pampiniform plexus of veins, a network of many small veins found in the male spermatic cord. There is a known relationship between right varicocele and extratesticular neoplasms. Doppler ultrasonography is an accurate tool in the hands of an experienced radiologist, enabling a clear, accurate diagnosis to be reached reasonably fast in pressing circumstances.
Testicular ultrasound may be helpful in detecting extraescrotal pathologies. Among the 16 patients with spermatic cord torsion, the doppler examination was correct in seven 44%, indeterminate in four 25%, and falsely negative in five 31%, despite use of the funicular compression test. Role of ultrasound with color doppler in acute scrotum. Aids in evaluating for torsion, infection or masses. The most common symptom is acute testicular pain and the most common underlying cause, a bellclapper deformity. The author, date and country of publication, patient group studied, study type, relevant outcomes. Sonographic appearances of the epididymis in boys with acute testicular torsion but preserved testicular blood flow on color. Thirtythree patients with acute scrotal pain underwent grayscale and color doppler sonography and subsequent surgery. Liquido em quantidade habitual na bolsa testicular direita. A total of 284 papers were found using the reported search, of which seven presented the best evidence to answer the clinical question. Ecografia doppler del traumatismo escrotal radiologia. Pdf doppler application in testicular and scrotal disease. Doppler color, tc, infeccion, isquemia infarto, trauma doi. Ultrasound in the diagnosis of testicular torsion emergency.
We believe that color doppler ultrasound is capable of reliably showing the normal testicular arterial anatomy by imaging intraarterial blood flow. Testicular torsion occurs when a testicle torts on the spermatic cord resulting in the cutting off of blood supply. Doppler application in testicular and scrotal disease. Discussion after doppler ultrasound was first proposed for use in the evaluation of scrotal swelling in the mid1970s,3 nu merous studies reported complete ac curacy with the technique. Color doppler ultrasound us is the modality of choice to differentiate testicular torsion from inflammatory conditions and can thus help in avoiding unnecessary surgical explorations. Color doppler sonography of normal and torsed testicular. Physical examination adds only a little information. Rafael rodriguezpatron rodriguez, teodoro mayayo dehesa, alberto lennie zuccarino, enrique sanz mayayo, fernando arias funez y ricardo garcia navas.