Gray-scale sonography in torsion of the testicular appendages
| Autor: | B. Karpe, M. Rosenborg, A. Nyström, J. Gierup, U. Hesser, L. Hedenborg |
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| Rok vydání: | 1993 |
| Předmět: |
Male
Adolescent Sensitivity and Specificity Predictive Value of Tests Testis medicine Humans Testicular torsion Radiology Nuclear Medicine and imaging Child Spermatic Cord Torsion Ultrasonography Neuroradiology Histological examination Epididymis Appendage business.industry Ultrasound Torsion (gastropod) Infant Echogenicity Anatomy musculoskeletal system medicine.disease Child Preschool Pediatrics Perinatology and Child Health business Scrotal Pain |
| Zdroj: | Pediatric Radiology. 23:529-532 |
| ISSN: | 1432-1998 0301-0449 |
| DOI: | 10.1007/bf02012140 |
| Popis: | The reliability of gray-scale ultrasonography in diagnosing torsion of the testicular appendages was studied in a series of 54 boys with acute non-traumatic scrotal pain. All boys were operated upon, and the appendages extirpated irrespective of their appearance at exploration; the final diagnosis was based on histological examination. Forty-two boys had appendicular torsion, 2 had testicular torsion and 10 had other diagnoses. Using the sign of appendicular torsion — an echogenic extratesticular structure situated between the head of the epididymis and the upper pole of the testis — as the criterion, 37 displayed a true positive, 9 a true negative, 3 a false positive and 5 a false negative diagnosis. Thus, the sensitivity was 88%, the specificity 75% and the positive predictive value 93% respectively. The echogenic mass varied in size from 3 to 17 mm in diameter. In 34 of the 42 cases of appendicular torsion extratesticular fluid was present, and 19 patients showed enlargement of the head of the epididymis. It is concluded that gray-scale sonography is an accurate and valuable tool in diagnosing torsion of the testicular appendages. |
| Databáze: | OpenAIRE |
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