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Color Doppler sonogrphy in differentiation between testicular torsion and epididymoorchitis: report of three cases.
Changgeng Yi Xue Za Zhi. 1996 Mar; 19(1):90-4.CY

Abstract

Clinical assessment of the testicular torsion and epididymoorchitis is inherently difficult. Inadequate clinical information may prevent differentiation testicular torsion from non-surgical condition. We reported 3 cases with symptoms of acute scrotal condition who had received color Doppler sonography. One man had epididymoorchitis and color Doppler sonography showed profusely increased blood flow in the region of epididymis and testis. Symptoms subsided with one week of medical treatment. Sonography correctly detected absence of testicular perfusion in 2 boys who had sugical exploration of the scrotum. Testicular torsions were confirmed by surgical findings. Absence or markedly decreased testicular blood flow which indicated testicular ischemia or infarction was easily identified. Conversely, hyperemia of the testis and/or epididymis is usually associated with inflammation However, incomplete torsion or detorsion may demonstrate normal testicular flow on color Doppler sonography. Color Doppler sonography provides early diagnosis of acute testicular torsion, and prevents unnecessary scrotal exploration.

Authors+Show Affiliations

Department of Surgery Chang Gung Memorial Hospital, Chang Gung Medical College, Taoyuan, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8935382

Citation

Chou, C C., et al. "Color Doppler Sonogrphy in Differentiation Between Testicular Torsion and Epididymoorchitis: Report of Three Cases." Changgeng Yi Xue Za Zhi, vol. 19, no. 1, 1996, pp. 90-4.
Chou CC, Chen CS, Chu SH, et al. Color Doppler sonogrphy in differentiation between testicular torsion and epididymoorchitis: report of three cases. Changgeng Yi Xue Za Zhi. 1996;19(1):90-4.
Chou, C. C., Chen, C. S., Chu, S. H., & Lai, M. K. (1996). Color Doppler sonogrphy in differentiation between testicular torsion and epididymoorchitis: report of three cases. Changgeng Yi Xue Za Zhi, 19(1), 90-4.
Chou CC, et al. Color Doppler Sonogrphy in Differentiation Between Testicular Torsion and Epididymoorchitis: Report of Three Cases. Changgeng Yi Xue Za Zhi. 1996;19(1):90-4. PubMed PMID: 8935382.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Color Doppler sonogrphy in differentiation between testicular torsion and epididymoorchitis: report of three cases. AU - Chou,C C, AU - Chen,C S, AU - Chu,S H, AU - Lai,M K, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 90 EP - 4 JF - Changgeng yi xue za zhi JO - Changgeng Yi Xue Za Zhi VL - 19 IS - 1 N2 - Clinical assessment of the testicular torsion and epididymoorchitis is inherently difficult. Inadequate clinical information may prevent differentiation testicular torsion from non-surgical condition. We reported 3 cases with symptoms of acute scrotal condition who had received color Doppler sonography. One man had epididymoorchitis and color Doppler sonography showed profusely increased blood flow in the region of epididymis and testis. Symptoms subsided with one week of medical treatment. Sonography correctly detected absence of testicular perfusion in 2 boys who had sugical exploration of the scrotum. Testicular torsions were confirmed by surgical findings. Absence or markedly decreased testicular blood flow which indicated testicular ischemia or infarction was easily identified. Conversely, hyperemia of the testis and/or epididymis is usually associated with inflammation However, incomplete torsion or detorsion may demonstrate normal testicular flow on color Doppler sonography. Color Doppler sonography provides early diagnosis of acute testicular torsion, and prevents unnecessary scrotal exploration. UR - https://www.unboundmedicine.com/medline/citation/8935382/Color_Doppler_sonogrphy_in_differentiation_between_testicular_torsion_and_epididymoorchitis:_report_of_three_cases_ DB - PRIME DP - Unbound Medicine ER -