Pearls and Pitfalls of Pediatric Scrotal Imaging.

Autor: Sintim-Damoa A; Department of Radiology, LeBonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN., Cohen HL; Department of Radiology, LeBonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN. Electronic address: hcohenmb@optonline.net.
Jazyk: angličtina
Zdroj: Seminars in ultrasound, CT, and MR [Semin Ultrasound CT MR] 2022 Feb; Vol. 43 (1), pp. 115-129. Date of Electronic Publication: 2021 May 16.
DOI: 10.1053/j.sult.2021.05.011
Abstrakt: Ultrasonography (US) is the primary imaging modality for the evaluation of pediatric scrotal disease. The ability to obtain exceptional anatomical detail and testicular perfusion information without ionizing radiation makes it the essential tool for evaluating scrotal pain and palpable masses. Challenges arise in both the performance and interpretation of scrotal US in the child. Optimizing imaging parameters and recognizing key differentiating US features help minimize misinterpretations that can lead to poor patient outcomes. Key pearls and pitfalls in pediatric scrotal ultrasound methods and diagnoses are reviewed. Knowledge of what is normal for the various ages of childhood from neonate through adolescence is necessary for accurate US analysis. Imaging evaluation of key causes of the acute painful scrotum including testicular appendage torsion, epididymitis, and testicular torsion are discussed. Sonographic features for the diagnosis of benign and malignant scrotal masses, microlithiasis, and cryptorchidism are reviewed.
(Copyright © 2021. Published by Elsevier Inc.)
Databáze: MEDLINE
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