Ultrasound Pictures of “Testicular Torsion”

Clinical manifestations Testicular Torsion: excruciating pain of sudden onset; swelling and redness of the scrotum; nausea, vomiting.

Diagnosis Testicular Torsion:
x History: age
x Laboratory tests to differentiate from orchitis and epididymitis
x Sonography
Sonographic findings Testicular Torsion:
x Enlarged testis
x Testis decreases in size over a period of days, may become atrophic.

x Affected testis is isoechoic to unaffected testis
x Hypoechoic to anechoic areas increase over a period of days, signifying necrosis
x Enlarged epididymis
x Hydrocele
x Absence of vascularity by CDS
Accuracy of sonographic diagnosis Testicular Torsion: Testicular torsion may be mistaken for a tumor or inflammation. CDS can confirm the diagnosis in 100 % of cases by showing an absence of blood flow.
! Caution Testicular Torsion: This diagnosis is an indication for immediate surgery.

Ultrasound Tags: testiscul