Ultrasound in The Assessment of Acute Scrotum
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Background: The acute scrotum is a medical emergency. The acute scrotum is defined as scrotal pain, swelling, and redness of acute onset. Scrotal abnormalities can be divided into three groups, which are extra-testicular lesion, intra-testicular lesion and trauma. This is a prospective analysis of 34 ultrasound(US) examination performed in patient arriving in the emergency room for scrotal pain. The objective of this article is to familiarize the reader with the US features of the most common and some of the least common scrotal lesions. Methods: Between October 2016 and December 2016, 34 patients aged few month and older with scrotal symptoms, who underwent scrotal ultrasonography (US), were prospectively reviewed. The clinical presentation, outcome, and Ultrasound results were analyzed. The presenting symptoms including scrotal pain, painless scrotal mass or swelling, and trauma. Results- Of the 34 patients,19(55.8%) presented with scrotal pain,11(32.3%) had painless scrotal mass or swelling and 4(11.7%) had trauma. Of the 19 patients with scrotal pain, 8 had infection, 1had testicular torsion, 1 had varicocele, 1 had atrophic testes, 1 had cryptorchidism, and 7 had unremarkable results. In the 4 patients who had history of scrotal trauma, US detected atrophy of testes in 1 patient, 1 had testicular abscess,1 had torsion and 1 had unremarkable results. Of the 11 patients who presented with painless scrotal mass or swelling, 10 had extra-testicular lesions and 1 had intra-testicular lesions. All the extra-testicular lesions were benigncomprising of 4 hydrocele,2pyocele and 1 spermatocele,2 inguinal hernia and 1 multiple epididymal cyst. Of the 1 intra-testicular lesion, was testicular infarction as a sequelae to epididymo-orhitis. Conclusions: US provides excellent anatomic detail; when color Doppler and Power Doppler imaging are added, testicular perfusion can be assessed.
Authors and Affiliations
Nipun Gumber, Anand Prakash Verma, Hemant Kumar Mishra, M. C. Baberwal, Sunil Kumar Agrawal, Brijeshkumar sharma
Keywords
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- EP ID EP598046
- DOI 10.9790/0853-1605097480.
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