Page 19 - SONO 260 Chapter 13 The Male Pelvis

PATHOLOGY OF THE SCROTUM
TORSION OF THE TESTICULAR
APPENDAGES
•DURING A NORMAL SONOGRAPHIC EXAMINATION, THE APPENDAGES ARE NOT ROUTINELY IDENTIFIED AS DISTINCT STRUCTURES.
• THEY MAY BE SEEN IN THE PRESENCE OF A HYDROCELE OR OTHER SCROTAL FLUID COLLECTIONS.
• NORMAL APPENDAGE APPEARS AS A SMALL OVAL PROJECTION OF TISSUE.
•CLINICALLY, TORSION OF THE APPENDIX TESTIS PRESENTS MUCH LIKE TESTICULAR TORSION.
• INSTEAD OF GENERAL TESTICULAR PAIN, PATIENTS WILL PRESENT WITH FOCAL TESTICULAR PAIN, OFTEN LOCALIZED TO THE SUPERIOR POLE OF THE TESTIS.
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