Testicular Torsion



Testicular Torsion


Parth C. Patel

Cassandra M. Sams



CLINICAL HISTORY

16-year-old male with a history of acute onset of scrotal pain.






FIGURE 31A






FIGURE 31B






FIGURE 31C






FIGURE 31D


FINDINGS

Figures 31A and 31B: Longitudinal and transverse grayscale US images show heterogeneous echotexture of the abnormal right testicle (between cursors). Figure 31C: Color Doppler sonogram of the right testicle shows absence of blood flow. Figure 31D: Color Doppler image of the right and left testicles on the same image for comparison demonstrates absence of flow in the right testicle and flow in the left testicle. At surgery, bilateral bell-clapper deformities were identified. The right testicle was detorsed and viable. Bilateral orchiopexies were performed.


DIFFERENTIAL DIAGNOSIS

Epididymo-orchitis, testicular torsion, torsion of the appendix testis, testicular abscess, testicular tumor, testicular trauma.

Aug 1, 2016 | Posted by in NEUROLOGICAL IMAGING | Comments Off on Testicular Torsion

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