Page 20 - SONO 260 Chapter 13 The Male Pelvis
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PATHOLOGY OF THE SCROTUM TORSION OF THE TESTICULAR APPENDAGES
• PHYSICIANS CAN MANUALLY INSPECT THE TESTIS FOR EVIDENCE OF THE “BLUE DOT” SIGN.
• THE “BLUE DOT” SIGN DESCRIBES THE APPEARANCE OF THE TORSED APPENDAGE THAT CAN BE OBSERVED AS A BLUE DOT JUST UNDER THE SKIN SURFACE.
• SONOGRAPHICALLY, THE TORSED APPENDAGE WILL APPEAR AS A SMALL, AVASCULAR, HYPOECHOIC OR HYPERECHOIC MASS ADJACENT TO THE SUPERIOR POLE OF THE TESTIS.
• THERE MAY ALSO BE EVIDENCE OF SCROTAL WALL THICKENING AND A REACTIVE HYDROCELE.
• TORSION OF THE APPENDIX TESTIS IS TREATED WITH PAIN MEDICATION AND BED REST.
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