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Color Doppler sonography in the diagnosis of acute scrotum in boys.
Eur J Pediatr Surg. 2000 Aug; 10(4):235-41.EJ

Abstract

Evaluation of acute painful scrotum is difficult and imaging studies have been reported to be unreliable in detecting testicular torsion. In order to assess the value of color Doppler sonography in acute scrotal disease, the authors reviewed 65 consecutive boys, ranging in age from 1 to 16 years. The study demonstrated absent or diminished flow signals in 11 patients. All of them had a surgical intervention, and in 8 of them, a testicular torsion was confirmed. 54 boys had a symmetrical or increased flow signal on the affected side. Just 5 boys among this group underwent surgical exploration. On follow up, none of the 54 patients with good flow signals proved to have a testicular torsion. Sonography and color Doppler sonography helped to differentiate epididymitis and torsion of a testicular appendage as a basis for further investigations and correct conservative therapy. In detecting a testicular torsion, color Doppler sonography yielded a positive predictive value of 73%, a sensitivity of 100% and a negative predictive value of 100%. We therefore conclude, that Doppler sonography can reliably rule out testicular torsion so that routine scrotal exploration in cases of acute scrotum is no longer necessary. By reducing the number of emergency operations and hospitalization days, color Doppler sonography can cut down the total cost of managing acute painful scrotum in boys.

Authors+Show Affiliations

Department of Pediatric Surgery, Children's University Hospital, Basel, Switzerland.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11034513

Citation

Weber, D M., et al. "Color Doppler Sonography in the Diagnosis of Acute Scrotum in Boys." European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Fur Kinderchirurgie, vol. 10, no. 4, 2000, pp. 235-41.
Weber DM, Rösslein R, Fliegel C. Color Doppler sonography in the diagnosis of acute scrotum in boys. Eur J Pediatr Surg. 2000;10(4):235-41.
Weber, D. M., Rösslein, R., & Fliegel, C. (2000). Color Doppler sonography in the diagnosis of acute scrotum in boys. European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Fur Kinderchirurgie, 10(4), 235-41.
Weber DM, Rösslein R, Fliegel C. Color Doppler Sonography in the Diagnosis of Acute Scrotum in Boys. Eur J Pediatr Surg. 2000;10(4):235-41. PubMed PMID: 11034513.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Color Doppler sonography in the diagnosis of acute scrotum in boys. AU - Weber,D M, AU - Rösslein,R, AU - Fliegel,C, PY - 2000/10/18/pubmed PY - 2001/3/3/medline PY - 2000/10/18/entrez SP - 235 EP - 41 JF - European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie JO - Eur J Pediatr Surg VL - 10 IS - 4 N2 - Evaluation of acute painful scrotum is difficult and imaging studies have been reported to be unreliable in detecting testicular torsion. In order to assess the value of color Doppler sonography in acute scrotal disease, the authors reviewed 65 consecutive boys, ranging in age from 1 to 16 years. The study demonstrated absent or diminished flow signals in 11 patients. All of them had a surgical intervention, and in 8 of them, a testicular torsion was confirmed. 54 boys had a symmetrical or increased flow signal on the affected side. Just 5 boys among this group underwent surgical exploration. On follow up, none of the 54 patients with good flow signals proved to have a testicular torsion. Sonography and color Doppler sonography helped to differentiate epididymitis and torsion of a testicular appendage as a basis for further investigations and correct conservative therapy. In detecting a testicular torsion, color Doppler sonography yielded a positive predictive value of 73%, a sensitivity of 100% and a negative predictive value of 100%. We therefore conclude, that Doppler sonography can reliably rule out testicular torsion so that routine scrotal exploration in cases of acute scrotum is no longer necessary. By reducing the number of emergency operations and hospitalization days, color Doppler sonography can cut down the total cost of managing acute painful scrotum in boys. SN - 0939-7248 UR - https://www.unboundmedicine.com/medline/citation/11034513/Color_Doppler_sonography_in_the_diagnosis_of_acute_scrotum_in_boys_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2008-1072366 DB - PRIME DP - Unbound Medicine ER -