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
Rok vydání: 2017
Předmět:
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