Color flow imaging in children with clinically suspected testicular torsion.
ABSTRACT 32 boys with symptoms of an acute scrotum had testicular sonography with color flow imaging (CFI). Patients ranged in age from 4-15 years (avg = 11 yrs). Symptoms were present from 12 h to 5 days (avg = 42 hrs). CFI correctly predicted presence or absence of testicular perfusion in 11 boys who had surgical exploration of the scrotum. 8 of these 11 patients had hemorrhagic infarction of the testicle, 1 had torsion of the appendix epididymis, 1 had epididymitis, and 1 had bilateral incomplete torsions with normal testicular perfusion. The remaining 21 patients did not have an operation. At least a 1 year follow-up of all patients has shown no clinical evidence of testicular atrophy to suggest a missed diagnosis of torsion. Absence or markedly decreased testicular flow was easily identified and indicates testicular ischemia/infarction. Conversely, hyperemia of the testis and/or epididymis is usually associated with trauma or infection. However, incomplete torsion or spontaneous detorsion may demonstrate normal testicular flow on CFI. Only close correlation of clinical symptomatology and gray scale findings with CFI can identify these patients, who remain at high risk for subsequent complete torsion and infarction.
- The Journal of Urology 09/1971; 106(2):243-7. · 3.70 Impact Factor
- [show abstract] [hide abstract]
ABSTRACT: Color Doppler ultrasonography (US) and testicular scintigraphy were used prospectively to evaluate 28 patients with acute scrotal pain. The results of these imaging studies were correlated with final diagnoses established by means of surgery or clinical follow-up. In all patients, testicular torsion was considered to be a possible diagnosis based on findings from the initial clinical evaluation. Findings from surgery confirmed testicular torsion in seven patients. All cases were correctly diagnosed with color Doppler US. Scintigraphy enabled correct diagnosis of six, but findings were false-negative in one patient with 180 degrees torsion. One patient had a surgically confirmed scrotal abscess that was correctly diagnosed with both color Doppler US and scintigraphy. Findings from clinical follow-up in the remaining 20 patients were consistent with epididymitis, orchitis, or torsion of an appendix testis. There were no false-positive diagnoses of testicular torsion by means of either color Doppler US or scintigraphy in any of these 20 patients. Color Doppler US is at least as accurate as testicular scintigraphy and can function as an effective means of evaluating patients with suspected testicular torsion.Radiology 11/1990; 177(1):177-81. · 6.34 Impact Factor
- [show abstract] [hide abstract]
ABSTRACT: We studied the findings on color Doppler sonography in five men with testicular ischemia (three with acute testicular torsion and two with testicular infarcts after herniorrhaphies). In all five cases, no intratesticular blood flow was identified on the symptomatic side, while normal blood flow was evident on the opposite side. In the three cases of acute torsion, no gray scale sonographic abnormalities were seen, and in the two cases of postoperative infarction, the abnormalities were nonspecific. These findings suggest that color Doppler sonography can be used to show decreased blood flow in cases of acute testicular ischemia and that it may have a role in evaluating patients with suspected testicular torsion.American Journal of Roentgenology 07/1989; 152(6):1237-9. · 2.90 Impact Factor