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testicular torsion, MedPix™ : 2605 - Medical Image Database and Atlas
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Location and Category

Location:
More Like This ? Genitourinary
Sublocation:
More Like This ? Testicle
Category:
More Like This ? Vascular
Find Related Topics: Click on the Location, Sublocation, or Category Links - (above)

TOPIC and DISCUSSION :: Slide Sorter :: Print Topic :: Slide Sorter ::

More Like This ? testicular torsion
Topic 2605 - Created: 2001-07-27 21:59:39-04 - Modified: 2004-06-08 19:37:28-04
ACR Index: 8.9

Testicular torsion occurring beyond the neonatal period is related to the abnormal suspension of the testicles within the tunica vaginalis, sometimes referred to as a “bell clapper” deformity, which allows the testicles to rotate on the spermatic cord. 360 degrees of torsion will occlude venous return, but arterial flow may persist, a situation roughly analogous to that of compartment syndrome in the limbs. Patients present with intense pain of acute onset.

TORSION – SONOGRAPIC FINDINGS
An enlarged, in homogenously hypoechoic testicle
Lack of flow on Doppler interrogation
Peritesticular hyperemia
Reactive hydrocele
TORSION - DISCRIMINATORS
In epididymo-orchitis, the echo pattern may be similar to that of torsion, but there will be increased epididymal and testicular flow. The onset of symptoms is usually insidious.
Completed testicular infarction may usually be distinguished by history. The testicle should not be enlarged.

Contributor Credits

Submitted by: Christopher J Bennett - Author Info
Affiliation: National Capital Consortium
Approved By: Philip A Dinauer - Editor Info
Affiliation: Civilian Medical Center


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