Torsed and Nontorsed Inguinal Undescended Testis: Comparison of Computed Tomography Findings
Autor: | Marianne M. Amitai, Michalle Soudack, Zehava Heiman, Yeruham Kleinbaum, Nadin Kanaan, Eyal Klang, Steve Raskin |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male 030232 urology & nephrology Computed tomography 03 medical and health sciences Testicular vessels Young Adult 0302 clinical medicine 030225 pediatrics Cryptorchidism Testis medicine Humans Radiology Nuclear Medicine and imaging Child Aged Retrospective Studies Spermatic Cord Torsion medicine.diagnostic_test business.industry Color doppler Middle Aged medicine.disease Undescended testicle Groin abscess Child Preschool Nuclear medicine business Tomography X-Ray Computed |
Zdroj: | Journal of computer assisted tomography. 41(4) |
ISSN: | 1532-3145 |
Popis: | OBJECTIVE The aim of this study was to compare the computed tomography imaging features of a torsed inguinal testis with nontorsed inguinal testes. METHODS Computed tomography scans of patients with undescended testes were retrospectively collected (2011-2016). Imaging features of nontorsed undescended testis were compared with a case of an inguinal torsed testis. Observations included location of the undescended testis, size (length × width) and texture of each testis, peritesticular findings, position of testicular vessels, and enhancement patterns. RESULTS Twelve nontorsed inguinal undescended testes were compared with 1 torsed undescended testicle. Torsed testis was larger than nontorsed (44 × 27 mm vs 32.9 ± 6.1 × 22.9 ± 4.9 mm), surrounded by fat stranding and fluid, with heterogeneous texture, enhancement of its outer layers, and an upward kink of its vessels. CONCLUSIONS Because torsed undescended testis can mimic a groin abscess and because torsion is a medical emergency, radiologists should be aware of this entity and its distinguishing imaging features. Color Doppler examination can ascertain absence/reduction of blood flow. |
Databáze: | OpenAIRE |
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