False diagnosis of ruptured testes in a case of traumatic dislocation
| Autor: | Matthew J. Austin, Katherine Richman, David Paz, Caroline A. Kilian, Dolores H. Pretorius, Sameer A. Patel |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male endocrine system medicine.medical_specialty Abdominal ct Joint Dislocations Testis Medicine Humans Radiology Nuclear Medicine and imaging False Positive Reactions Surgical emergency Diagnostic Errors Ultrasonography Rupture Radiological and Ultrasound Technology business.industry Blood flow Color doppler Testicular trauma medicine.disease Surgery Accidental Pelvic fracture Radiology Traumatic dislocation business |
| Zdroj: | Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 28(4) |
| ISSN: | 1550-9613 |
| Popis: | Testicular trauma can be a surgical emergency, and in general, surgical intervention must be performed within 3 days of the trauma for testicular salvage. 1,2 Both sonography, with and without color Doppler imaging, and computed tomography (CT) are useful diagnostic tests to evaluate the scrotal contents and abnormalities. Straddle injuries, often from motorcycle accidents, can rarely cause testicular dislocation and are usually accompanied by scrotal hematoma and pelvic fracture. 3 With abdominal CT and color Doppler sonography, the dislocated testicle and its blood flow are usually located, although at the initial time of injury, they may go undetected. 3 Victims typically are in their second and third decades of life, and the dislocation is most likely secondary to accidental trauma. We present a case in which a patient was thought to have shattered testes and was emergently taken to the operating room, where the testes were found to have normal blood flow bilaterally but to be displaced superiorly by a scrotal hematoma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text