Evaluation of the acute scrotum by color-coded Doppler ultrasonography
| Autor: | Walter Ludwig Strohmaier, Christoph W. Schaerfe, Karl H. Bichler, D. M. Wilbert, W. Stern |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Male endocrine system medicine.medical_specialty Urology urologic and male genital diseases Sensitivity and Specificity Spermatic cord symbols.namesake Testis Medicine Testicular torsion Humans Spermatic Cord Torsion Ultrasonics Prospective Studies Ultrasonography Epididymitis urogenital system business.industry Venous blood medicine.disease Surgery medicine.anatomical_structure Regional Blood Flow Acute Disease symbols Scrotum Radiology business Doppler effect Perfusion Scrotal Pain |
| Zdroj: | The Journal of urology. 149(6) |
| ISSN: | 0022-5347 |
| Popis: | Color-coded Doppler ultrasonography is a combination of real-time sonography and duplex sonography for noninvasive imaging of arterial and venous blood vessels. In 40 patients with acute onset of scrotal pain this diagnostic procedure was correlated with the findings at surgical exploration: 11 had testicular torsion, 4 hydatid torsion, 13 spontaneous detorsion, 2 blunt scrotal trauma and 10 epididymitis. For testicular torsion color-coded Doppler ultrasonography had a sensitivity of 82% and a specificity of 100%, and for epididymitis the sensitivity was 70% and specificity was 88%. Color-coded ultrasonography readily demonstrates testicular perfusion. In cases of incomplete or early torsion some residual perfusion may be detected leading to false-negative results. Despite this fact, color-coded Doppler ultrasonography currently is the most valuable diagnostic modality in the evaluation of the acute scrotum. |
| Databáze: | OpenAIRE |
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