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Testicular Torsion: Pitfalls of Color Doppler Sonography

1993; Lippincott Williams & Wilkins; Volume: 150; Issue: 2 Part 1 Linguagem: Inglês

10.1016/s0022-5347(17)35512-x

1527-3792

George F. Steinhardt, Saul Boyarsky, Richard A. Mackey,

Sexual Differentiation and Disorders

No AccessJournal of Urology1 Aug 1993Testicular Torsion: Pitfalls of Color Doppler Sonographyis companion ofReply by Authors George F. Steinhardt, Saul Boyarsky, and Richard Mackey George F. SteinhardtGeorge F. Steinhardt More articles by this author , Saul BoyarskySaul Boyarsky More articles by this author , and Richard MackeyRichard Mackey More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35512-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Only 25% of boys with acute scrotal swelling have testicular torsion. A noninvasive test that reliably distinguishes torsed testes from all other acute scrotal conditions would benefit patients presenting with pain and swelling of the scrotum. Recent reports suggest that color Doppler ultrasound may be the long-awaited test that clearly differentiates testes with compromised blood flow from all other conditions. However, we report on 2 patients with positive blood flow on color Doppler ultrasonography who subsequently were found at surgery to have testicular torsion. Inability to distinguish normal testes and normal epididymis on physical examination is still the best indicator to proceed with surgical exploration in pediatric patients with acute scrotal swelling. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByKALFA N, VEYRAC C, BAUD C, COUTURE A, AVEROUS M and GALIFER R (2018) ULTRASONOGRAPHY OF THE SPERMATIC CORD IN CHILDREN WITH TESTICULAR TORSION: IMPACT ON THE SURGICAL STRATEGYJournal of Urology, VOL. 172, NO. 4 Part 2, (1692-1695), Online publication date: 1-Oct-2004.BENTLEY D, RICCHIUTI D, NASRALLAH P and McMAHON D (2018) SPERMATIC CORD TORSION WITH PRESERVED TESTIS PERFUSION: INITIAL ANATOMICAL OBSERVATIONSJournal of Urology, VOL. 172, NO. 6 Part 1, (2373-2376), Online publication date: 1-Dec-2004.Jefferson R, Perez L and Joseph D (2018) Critical Analysis of the Clinical Presentation of Acute Scrotum: A 9-Year Experience at a Single InstitutionJournal of Urology, VOL. 158, NO. 3, (1198-1200), Online publication date: 1-Sep-1997.Allen T and Elder J (2018) Shortcomings of Color Doppler Sonography in Diagnosis of Testicular TorsionJournal of Urology, VOL. 154, NO. 4, (1508-1510), Online publication date: 1-Oct-1995. (2018) EDITORIAL COMMENTJournal of Urology, VOL. 153, NO. 3, (784-784), Online publication date: 1-Mar-1995.Related articlesJournal of UrologyNov 13, 2018, 9:13:28 PMReply by Authors Volume 150Issue 2 Part 1August 1993Page: 461-462 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordsspermatic cord torsiontestisedemascrotumultrasonic diagnosisMetricsAuthor Information George F. Steinhardt More articles by this author Saul Boyarsky More articles by this author Richard Mackey More articles by this author Expand All Advertisement PDF DownloadLoading ...