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C-0220 - Acute scrotum on US: a useful and practical guide for residents on call

M. Cordon Holzknecht, À. Domingo Castelló, L. E. Guerrero, O. MEZOSI, S. Ricart Farre; Tarragona/ES Type: Educational Exhibit
Area of Interests: Anatomy, Genital / Reproductive system male
Imaging Techniques: Ultrasound-Spectral Doppler, Ultrasound-Colour Doppler, Ultrasound
Procedure: Education
Special Focuses: Acute, Education and training
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Learning objectives: The objective of this paper is to review the topic of acute scrotum, a frequent pathology which radiology residents have to confront from the onset of their residency. This review will outline this well known pathology from a useful and practical view, easy for residents to use on a daily basis.&nb[...]

Background: Acute scrotum is defined as the manifestation of scrotal pain, swelling and redness. Causes of scrotal pain include inflammation (epididymitis, epididymo-orchitis), testicular torsion and trauma. The difficulty of a diagnosis where the symptoms are unspecific is reduced by an evaluation in real time[...]

Findings and procedure details: FINDINGS Ultrasound anatomy of the scrotum     Testes on ultrasound present a homogenous echogenicity with a mild coarse echostructure. Prepubertal testis has a slightly decreased echogenicity relative to an adult testis. Adult diameter measures between 3-5 cm, with a volume of  ap[...]

Conclusion: An acute scrotum can be a challenging diagnosis for medical practitioners. The non-specific and overlapping symptoms between infectious and vascular pathologies cause a high rate of false positive for spermatic cord torsions based only on physical examination.   US is the most useful and avail[...]

Personal information:

References:     Appelbaum, L. Gaitini, D., Vikram S. Dogra. Scrotal Ultrasound in Adults. Seminars in Ultrasound, CT and MRI. Elsevier 2013.   Celestino Aso, Goya Enríquez, Marta Fité, Nuria Torán, Carmen Piró, Joaquim Piqueras and Javier Lucaya. Gray-Scale and Doppler Sonography of Scrotal Disor[...]

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