Page 16 - SONO 260 Chapter 13 The Male Pelvis
P. 16
PATHOLOGY OF THE SCROTUM TESTICULAR TORSION
• IN THE ACUTE STAGE, THE TESTIS WILL OFTEN APPEAR ENLARGED AND HYPOECHOIC OR HETEROGENEOUS.
• THERE WILL BE ON DETECTABLE INTRATESTICULAR VASCULARITY WITH DOPPLER INTERROGATION WHEN THE TESTIS IS COMPLETELY TORSED.
• HOWEVER, IT IS IMPORTANT TO NOTE THAT SOME INTRATESTICULAR FLOW MAY BE DETECTABLE WITH LESSER DEGREES OF TORSION.
• THE SONOGRAPHER SHOULD COMPARE THE FLOW WITHIN BOTH TESTICLES AND SHOULD DOCUMENT BOTH VENOUS AND ARTERIAL WAVEFORMS.
• THE EPIDIDYMIS IS OFTEN ENLARGED AND THERE MAY BE A REACTIVE HYDROCELE PRESENT.
• THE SCROTAL WALL MAY ALSO BE THICKENED.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
