Doppler ultrasound failure in testicular torsion
1984; Elsevier BV; Volume: 13; Issue: 12 Linguagem: Inglês
10.1016/s0196-0644(84)80333-9
ISSN1097-6760
Autores Tópico(s)Testicular diseases and treatments
ResumoEighty adult patients with acute scrotal pain were evaluated during a one-year period using the Doppler ultrasonic stethoscope. Among the 16 patients with spermatic cord torsion, the Doppler examination was correct in seven (44%), indeterminate in four (25%), and falsely negative in five (31%), despite use of the funicular compression test. The mean duration of torsion was substantially different in the correct (15 hours), indeterminate (70 hours), and false-negative (50 hours) groups, although the correlation between Doppler result and torsion duration was not significant (P = .14). The large number of false-negative examinations makes the Doppler unsuitable for excluding the diagnosis of testicular torsion.
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