Page 25 - SONO 260 Chapter 13 The Male Pelvis
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PATHOLOGY OF THE SCROTUM VARICOCELE
• SONOGRAPHICALLY, A VARICOCELE COMMONLY APPEARS AS A GROUP OF ANECHOIC, TUBULAR STRUCTURES LOCATED OUTSIDE OF THE TESTIS.
• VARICOCELES CAN BE INTRATESTICULAR IN LOCATION.
• TO DIAGNOSE A VARICOCELE USING COLOR DOPPLER, THE VALSALVA MANEUVER CAN BE PERFORMED.
• WHEN THE INTRA-ABDOMINAL PRESSURE IS INCREASED, THE VEINS SHOULD FILL WITH BLOOD AND BECOME ENLARGED.
• THESE DILATED VEINS WILL MEASURE GREATER THAN 2 MM.
• THE PATIENT MAY ALSO STAND WHILE THEY ARE BEING SCANNED TO
SIMULATE THIS MANEUVER.
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