Faculty Collaboration Database

Color Doppler sonography in the evaluation of the adult acute scrotum. J Ultrasound Med 1992 Oct;11(10):543-8

Date

10/01/1992

Pubmed ID

1404585

DOI

10.7863/jum.1992.11.10.543

Scopus ID

2-s2.0-0027058113 (requires institutional sign-in at Scopus site)   44 Citations

Abstract

Color Doppler sonography (CDS) was used to evaluate 35 adult males with acute scrotal discomfort. Correlative nuclear scintigraphy was performed in 15 patients. Surgical correlation was available in 10 patients with clinical follow-up in the remaining 25. The complete absence of intratesticular color flow was used as our criterion for testicular ischemia. This was found to be 100% sensitive and 100% specific in 8 patients with surgically confirmed testicular ischemia. Spontaneous detorsion was noted in one patient with hyperemia demonstrated by color imaging. Increased color flow was found in 20 patients with the clinical impression of scrotal inflammation. Nuclear scintigraphy and color Doppler imaging had 100% agreement in 15 patients. Color Doppler sonography is a useful and highly accurate diagnostic method in the evaluation of patients with the acute scrotal syndrome. Color flow imaging is comparable to nuclear scintigraphy in the diagnosis of testicular ischemia.

Author List

Fitzgerald SW, Erickson S, DeWire DM, Foley WD, Lawson TL, Begun FP, Lawson RK

Author

Scott J. Erickson MD Professor in the Radiology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Acute Disease
Adolescent
Adult
Epididymitis
Genital Diseases, Male
Humans
Ischemia
Male
Orchitis
Scrotum
Testis
Ultrasonography