811 results match your criteria Testicular Torsion Imaging


Do repeat ultrasounds affect orchiectomy rate in patients with testicular torsion treated at a pediatric institution?

J Pediatr Urol 2018 Dec 21. Epub 2018 Dec 21.

Surgical Outcomes Center for Kids, Monroe Carell Jr. Children's Hospital at Vanderbilt, 2200 Children's Way Nashville, TN 37232, USA; Division of Pediatric Urology, Monroe Carell Jr. Children's Hospital at Vanderbilt, 2200 Children's Way, Suite 4102, Nashville, TN 37232-9820, USA.

Introduction: Testicular torsion is a urological emergency; as the testicular salvage rate decreases with time, prompt intervention is required to restore the blood flow. Interhospital transfers and ultrasound examinations, while clinically essential to proper treatment and diagnosis, may adversely affect outcomes by delaying surgical intervention. Patients transferred to another institution for treatment of testicular torsion may experience a further time delay by undergoing two ultrasound examinations: one at the initial admitting institution and one at the receiving institution. Read More

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http://dx.doi.org/10.1016/j.jpurol.2018.12.002DOI Listing
December 2018

Suspected testicular torsion in children: diagnostic dilemma and recommendation for a lower threshold for initiation of surgical exploration.

Res Rep Urol 2018 5;10:241-249. Epub 2018 Dec 5.

Department of Pediatric Surgery, Hamad General Hospital, Doha, Qatar,

Purpose: Testicular torsion (TT) represents a clinical challenge that needs emergency surgical assessment. It is common to have negative scrotal exploration due to confounding symptoms and signs which makes it sometimes difficult to differentiate from similar surgical emergencies that do not warrant surgery. At the same time, several occasions of misdiagnoses or late interventions occur with devastating effects. Read More

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http://dx.doi.org/10.2147/RRU.S186112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287511PMC
December 2018

[Testicular Microlithiasis: Update on diagnosis and management.]

Arch Esp Urol 2018 Dec;71(10):840-849

Laboratorio de Andrología, Microbióloga y Química Clínica. Instituto Nacional de Perinatología. Isidro Espinosa de los Reyes. Ciudad de México. México.

Testicular microlithiasis (TM) is an uncommonurologic condition incidentally diagnosed byscrotal ultrasound. It has been associated with differentdiseases, such as Klinefelter`s syndrome, testicular atrophy,cryptorchidism, testicular torsion, and infertility.However, it can also present in healthy males that haveno associated risk factors. Read More

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December 2018
3 Reads

Bilateral Neonatal Testicular Torsion; Hidden Surgical Nightmare.

Front Pediatr 2018 20;6:318. Epub 2018 Nov 20.

Pediatric Surgery, Hamad Medical Corporation, Doha, Qatar.

Perinatal testicular torsion is a relatively rare event that remains unidentified in many situations and managed only after an avoidable delay of time. Its current management approaches include watchful observation, delayed contralateral orchiopexy, and emergent contralateral orchiopexy. On the other hand, bilateral torsion is now being more frequently reported. Read More

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http://dx.doi.org/10.3389/fped.2018.00318DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6256121PMC
November 2018
2 Reads

Surgical practice among pediatric surgeons and pediatric urologists in the Kingdom of Saudi Arabia for the management of suspected testicular torsion.

Saudi Med J 2018 Dec;39(12):1232-1237

Division of Pediatric Surgery, Department of Surgery, College of Medicine, Taibah University, Almadinah Al-munawarah, Kingdom of Saudi Arabia. E-mail.

Objectives: To review and compare clinical practice and experience among pediatric surgeons (PS) and pediatric urologists (PU) for the management of testicular torsion (TT) in the Kingdom of Saudi Arabia (KSA).

Methods: This was a cross-sectional study conducted between August 2016 and November 2017, among all PU and PS involved in the management of suspected TT in KSA. A questionnaire was distributed to participants through the Survs. Read More

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http://dx.doi.org/10.15537/smj.2018.12.22958DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344661PMC
December 2018
2 Reads

A Pair of Testicular Torsion Medicolegal Cases with Caveats: The Ball's in Your Court.

Clin Pract Cases Emerg Med 2018 Nov 18;2(4):283-285. Epub 2018 Oct 18.

Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington.

In this article, we present two medicolegal cases illustrating medical and diagnostic pitfalls that can lead to litigation for missed testicular torsion. Testicular torsion (TT) is a urologic emergency with potentially devastating consequences and costs, for providers and patients alike. TT occurs in approximately 4. Read More

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http://dx.doi.org/10.5811/cpcem.2018.10.39497DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230354PMC
November 2018
14 Reads

Concurrent testicular torsion and acute incarcerated inguinal hernia in an adolescent boy.

BMJ Case Rep 2018 Oct 27;2018. Epub 2018 Oct 27.

Department of Pediatric Surgery, Dayton Children's Hospital/Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA.

Testicular torsion and acute incarcerated inguinal hernia are both common surgical emergencies in the paediatric population. We present the unusual case of a 16-year-old adolescent boy who presented with both of these conditions concurrently. He had a history of a right inguinal hernia, but ultrasound confirmed a testicular torsion and we employed manual detorsion in the emergency department prior to taking him to the operating room. Read More

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http://dx.doi.org/10.1136/bcr-2018-227087DOI Listing
October 2018
3 Reads

Incremental Role of FDG PET/CT in Assessment of Testicular Viability.

Nucl Med Mol Imaging 2018 Oct 2;52(5):377-379. Epub 2018 Jul 2.

1Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector -12, Chandigarh, 160012 India.

Testicular torsion is a common differential diagnosis of acute scrotal pain along with acute epididymo-orchitis, which may lead to testicular non-viability. Doppler ultrasound and testicular scintigraphy are two routinely used modalities for the assessment of testicular viability. However, in some cases, these investigations may prove inadequate in differentiating between the two entities with widely differing management. Read More

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http://dx.doi.org/10.1007/s13139-018-0531-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177341PMC
October 2018

Snail shell sign: Testicular/ovarian torsion.

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:106

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

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http://doi.wiley.com/10.1111/1754-9485.50_12784
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http://dx.doi.org/10.1111/1754-9485.50_12784DOI Listing
October 2018
4 Reads

The Protective Effects of Pulsed Magnetic Field and Melatonin on Testis Torsion and Detorsion Induced Rats Indicated by Scintigraphy, Positron Emission Tomography/Computed Tomography and Histopathological Methods.

Urol J 2018 Nov 17;15(6):387-396. Epub 2018 Nov 17.

Gaziosmanpaşa University, Faculty of Medicine, Department of Urology, Tokat 60100, Turkey.

Purpose: The aim of the present study was to show the protective effect of pulsed magnetic field (PMF) application and melatonin administration on damage in testis in a one-sided torsion detorsion induced rat model using testicular scintigraphy with 99mTc pertechnetate, PET/CT with 18F-FDG and histopathological methods.

Materials And Methods: Sixty male rats were used in the study; 30 rats were randomly divided into five groups for one day applications of sham control, torsion, melatonin, pulsed magnetic field (PMF) and melatonin plus PMF. Similarly, for one week group, the other 30 rats were divided into the same five group (n=6), but the animals were sacrificed after one week. Read More

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http://dx.doi.org/10.22037/uj.v0i0.4404DOI Listing
November 2018
12 Reads
0.710 Impact Factor

Testicular cavernous hemangioma associated with testicular torsion - case report and review of literature.

Int J Surg Case Rep 2018 27;49:247-250. Epub 2018 Jun 27.

Department of Pediatric and Adolescent Surgery, General Hospital, Klagenfurt, Austria. Electronic address:

Introduction: Testicular neoplasms that are derived from connective tissue, blood vessels and musculature are uncommon and intra-testicular tumors of vascular origin are extremely rare; both are benign in nature. Testicular hemangioma is exceedingly rare and typically occurs in patients younger than 20 years, the age in which a primary germ cell tumor of the testis may present, necessitating a radical approach to management with orchidectomy, although potential conservative focal partial surgical excision is desirable. Hemangiomas of the testis have a similar sonographic and magnetic resonance imaging appearance to that of malignant tumors of the testis, especially seminoma. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.06.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080632PMC
June 2018
3 Reads

Bilateral low origin of testicular artery: a case report.

J Vasc Bras 2017 Jul-Sep;16(3):258-261

Manipal University, Melaka Manipal Medical College, Department of Anatomy, Manipal, Karnataka, India.

The testicular artery is frequently subjected to radiographic imaging techniques such as angiography for diagnosis and treatment of conditions like epididymitis, testicular torsion, tumor, hematoma, and hydrocele and in cases of undescended testis. Radiologists and surgeons should therefore be aware of testicular artery variants. Although there are numerous studies and case reports that mention testicular artery variants, this is probably the first case, reporting a bilateral low origin of the testicular artery and discussing its probable embryological etiology. Read More

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http://dx.doi.org/10.1590/1677-5449.003017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868945PMC
June 2018
11 Reads

Retroperitoneal seminoma, a rare cause of testicular pain.

BMJ Case Rep 2018 Jun 14;2018. Epub 2018 Jun 14.

Department of General Surgery, Royal Free London NHS Foundation Trust, London, London, UK.

Extragonadal retroperitoneal seminomas are a rare cause of testicular pain in males. We report the case of a 46-year-old man, who presented with right-sided testicular pain, clinically mimicking testicular torsion. The patient underwent a scrotal exploration, which revealed normal testes. Read More

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http://dx.doi.org/10.1136/bcr-2017-223736DOI Listing
June 2018
5 Reads

[Strangulated inguinal hernia complicated by testicular ischemia due to permeability of peritoneo-vaginal canal].

Pan Afr Med J 2018 25;29:76. Epub 2018 Jan 25.

Service de Radiologie Générale du CHU Aristide Le Dantec, Dakar, Sénégal.

Inguinal hernia is frequent in children. Strangulated hernia is the main complication of this disease and it is a diagnostic and therapeutic emergency. Imaging techniques, in particular Ultrasound, play a key role in case of diagnostic doubt, especially when the hernia occurs in a context of oscillating testicles because this may mimic a torsion of the spermatic cord. Read More

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http://dx.doi.org/10.11604/pamj.2018.29.76.14132DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987126PMC
June 2018
8 Reads

Conservative management of bilateral traumatic testicular dislocation in a 10-year-old boy.

J Rural Med 2018 May 29;13(1):82-85. Epub 2018 May 29.

Department of Urology, Nagaoka Chuo General Hospital, Japan.

A 10-year-old boy fell from a one-meter-high Jacuzzi ladder in a hot spring facility, landing in a straddle position, and injured his perineum. He visited the emergency room of our hospital immediately after the injury. Magnetic resonance imaging (MRI) revealed a tear of the corpus spongiosum urethra, and compression due to a hematoma. Read More

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http://dx.doi.org/10.2185/jrm.2952DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981024PMC
May 2018
4 Reads

Torsion of huge epididymal cyst in a 16-year-old boy: case report and review of the literature.

Pediatr Med Chir 2018 May 29;40(1). Epub 2018 May 29.

Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza.

Epididymal cysts (ECs) are relatively common in adults, rare in children. Normally their treatment is conservative. They may be situated anywhere in the organ, frequently in the region of the head. Read More

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http://dx.doi.org/10.4081/pmc.2018.162DOI Listing
May 2018
1 Read

The utility of scrotal ultrasonography in the emergent setting: beyond epididymitis versus torsion.

Emerg Radiol 2018 Aug 21;25(4):341-348. Epub 2018 Apr 21.

Department of Radiologic Sciences, Wake Forest University Baptist Medical Center, Medical Center Blvd, Winston-Salem, NC, 27157, USA.

Scrotal pain is a common acute presentation for medical care. Testicular torsion and epididymo-orchitis are two diagnoses for which early detection is critical and their sonographic imaging features have been thoroughly described in the radiologic literature. Other important conditions for which radiologists must be aware have received less attention. Read More

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http://dx.doi.org/10.1007/s10140-018-1606-yDOI Listing
August 2018
6 Reads

Idiopathic scrotal fat necrosis: an unusual cause of scrotal pain.

BMJ Case Rep 2018 Apr 17;2018. Epub 2018 Apr 17.

Paediatric Surgery, John Hunter Children's Hospital, New Lambton, Australia.

The clinical differential diagnosis of scrotal pain with a mass in a prepubertal boy is difficult. Often conditions such as testicular torsion and epididymo-orchitis are diagnosed. We present a rare cause of scrotal pain, idiopathic scrotal fat necrosis. Read More

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http://dx.doi.org/10.1136/bcr-2017-224087DOI Listing
April 2018
3 Reads

Diffusion-Weighted Imaging and Color Doppler Ultrasound in Evaluation of Partial Testicular Torsion in Rat Model.

Pol J Radiol 2017 15;82:542-546. Epub 2017 Sep 15.

Department of Pathology, University of Pamukkale, Denizli, Turkey.

Background: To evaluate the utility of histogram analysis of apparent diffusion coefficient (ADC) in the diagnosis of incomplete testicular torsion.

Material/methods: Fourteen Wistar albino rats were randomly allocated into two groups. In group 1 (control), left testicles were kept outside for 45 seconds and then replaced, whereas left testicles were twisted by 360° in group 2. Read More

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http://dx.doi.org/10.12659/PJR.902613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894047PMC
September 2017
16 Reads

Large intra-abdominal seminoma in a left undescended testicle complicated by torsion.

BMJ Case Rep 2018 Mar 28;2018. Epub 2018 Mar 28.

Department of Urology, University of Texas Health Science Center, San Antonio, Texas, USA.

A 39-year-old man presented with a 2-day history of worsening constant, dull diffuse lower abdominal pain with associated constipation and known history of left undescended testicle. He was evaluated at an outside hospital where a non-contrasted CT scan revealed a 20 cm well-circumscribed soft tissue mass within the pelvis.He was referred and further imaging revealed a 12 cm heterogeneous mass with foci of air that appeared to be contiguous with the left spermatic cord. Read More

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http://dx.doi.org/10.1136/bcr-2017-222670DOI Listing
March 2018
7 Reads

Prospective Evaluation of Predictors of Testis Atrophy After Surgery for Testis Torsion in Children.

Urology 2018 Jun 20;116:150-155. Epub 2018 Mar 20.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX; Division of Pediatric Urology, Children's Health, Dallas, TX. Electronic address:

Objective: To prospectively correlate pain duration, red scrotal skin, ultrasound appearance of testis, and intraoperative testis color to future testis atrophy after acute testicular torsion.

Methods: Patients 2 months-18 years old with unilateral acute scrotum were consecutively enrolled in a National Institutes of Health transcutaneous near-infrared spectroscopy study, with a subgroup analysis of the true torsion group. Presence or absence of red scrotal skin, pain duration, testicular heterogeneity on preoperative ultrasound, and intraoperative testis color based on a novel visual chart 5 minutes after detorsion were recorded. Read More

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http://dx.doi.org/10.1016/j.urology.2018.03.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291205PMC
June 2018
5 Reads

Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis.

Pediatr Radiol 2018 05 21;48(5):735-744. Epub 2018 Feb 21.

Department of Radiology, Children's National Health System, Washington, DC, USA.

Testicular sonography has contributed greatly to the preoperative diagnosis of testicular torsion in the pediatric patient and is the mainstay for evaluation of acute scrotal pain. Despite its high sensitivity and specificity, both false-negative and false-positive findings occur. Presence of documented Doppler flow within the testis might be a dissuading factor for surgical exploration with resultant testicular loss in the false-negative cases. Read More

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http://dx.doi.org/10.1007/s00247-018-4093-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895684PMC
May 2018
3 Reads

The applied value of medical history, physical examination, colour-Doppler ultrasonography and testis scintigraphy in the differential diagnosis of acute scrotum.

Andrologia 2018 Feb 20. Epub 2018 Feb 20.

Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.

Acute scrotum, especially testicular torsion, is a common surgical emergency. A delay in diagnosis or management may lead to permanent testicular ischaemic damage. Thus, it is particularly important to differentiate testicular torsion from other acute scrotum conditions as soon as possible. Read More

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http://doi.wiley.com/10.1111/and.12973
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http://dx.doi.org/10.1111/and.12973DOI Listing
February 2018
2 Reads

Bilateral Simultaneous Testicular Torsion in a Newborn: Report of a Case.

Acta Medica (Hradec Kralove) 2017;60(3):120-123

Department of Pediatric Surgery, University Hospital of Split, Split, Croatia.

Introduction: Testicular torsion is a urological emergency. If not recognized in time, this condition may result in ischaemic injury and loss of testis. Simultaneous bilateral neonatal testicular torsion is extremely rare and is usually misdiagnosed. Read More

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http://dx.doi.org/10.14712/18059694.2018.4DOI Listing
April 2018
6 Reads

Bilateral testicular torsion in a 36-week neonate.

BMJ Case Rep 2018 Feb 7;2018. Epub 2018 Feb 7.

Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

A male neonate born after uncomplicated vaginal delivery at 36 weeks' gestation was noted to have large and firm testicles bilaterally on routine examination. A testicular ultrasound scan was subsequently organised that showed detailed appearances consistent with bilateral testicular torsion. This was thought to have taken place antenatally and as such was unfortunately not suitable for intervention. Read More

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http://dx.doi.org/10.1136/bcr-2017-223093DOI Listing
February 2018
5 Reads

Urologic Emergencies.

Med Clin North Am 2018 Mar 20;102(2):373-385. Epub 2017 Dec 20.

Department of Urology, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue 16-703, Chicago, IL 60611, USA. Electronic address:

Urologic emergencies can involve the kidneys, ureters, bladder, urethra, penis, scrotum, or testicles. History and physical examination are essential to diagnosis, whereas imaging is increasingly used to confirm diagnoses. Acute urinary retention should be relieved with Foley placement. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00257125173016
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http://dx.doi.org/10.1016/j.mcna.2017.10.013DOI Listing
March 2018
16 Reads

The ultrasonographic "whirlpool sign" in testicular torsion: valuable tool or waste of valuable time? A systematic review and meta-analysis.

Emerg Radiol 2018 Jun 15;25(3):281-292. Epub 2018 Jan 15.

Division of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, 07 York Road, Parktown, Johannesburg, 2193, South Africa.

Purpose: A positive whirlpool sign (WS) is defined as the presence of a spiral-like pattern when the spermatic cord is assessed during ultrasonography (US), using standard, high-resolution ultrasonography (HRUS) and/or color Doppler sonography (CDS), in the presence of testicular torsion. The objective of this review was to assess the validity and accuracy of this sign by performing a comprehensive systematic literature review and meta-analysis.

Methods: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, a comprehensive literature search was performed (August, 2017), using the following databases: BMJ Best Practice, Cochrane Library, Embase, PubMed, Scopus, and Web of Science. Read More

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http://link.springer.com/10.1007/s10140-018-1579-x
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http://dx.doi.org/10.1007/s10140-018-1579-xDOI Listing
June 2018
29 Reads

[High-frequency ultrasonography for diagnosis and differential diagnosis of acute scrotum in children].

Zhonghua Nan Ke Xue 2016 Nov;22(11):996-1000

Department of Urology, Children's Hospital, Shanghai Jiao Tong University, Shanghai 200040, China.

Objective: To analyze the high-frequency ultrasound image features of acute scrotum in children and explore the value of high-frequency ultrasonography in the diagnosis and differential diagnosis of the disease.

Methods: This retrospective study included 256 children aged 2 days to 14 years undergoing color Doppler ultrasonography at 2 hours to 3 days after onset of acute scrotum. We analyzed the morphology, internal echo and blood supply of the testis in comparison with the clinical and pathological results. Read More

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November 2016
10 Reads

Bilateral testicular torsion in an adolescent: a case with challenging diagnosis.

Int Braz J Urol 2018 Mar-Apr;44(2):393-396

Hospital Universitario y Politécnico La Fe, Valencia, Espanha.

Bilateral testicular torsion is a very uncommon emergency, with a challenging differential diagnosis. We describe the case of a 15-year-old patient with a left testicular torsion of 48 hours of duration and a sudden onset of right scrotum pain during his stay at the emergency area. Bilateral testicular torsion was diagnosed after repeat physical examination and doppler ultrasound, which had been normal for right testis in a first evaluation. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050561PMC
May 2018
3 Reads

Testicular torsion and reperfusion: evidences for biochemical and molecular alterations.

Cell Stress Chaperones 2018 05 31;23(3):429-439. Epub 2017 Oct 31.

Department of Surgery and Diagnostic Imaging, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran.

This study was done in order to determine the molecular and biochemical alterations following testicular torsion (TT) and torsion-reperfusion (TR). For this purpose, 54 male Wistar rats were divided into five groups as control group (n = 6) and experimental group subjected to 1, 2, 4, and 8 h unilateral left torsion induction (n = 12 in each group). After induction of TT, testicular samples were collected from each group (n = 6), and the other six rats of each group underwent the same period of reperfusion after TT and then were sampled. Read More

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http://dx.doi.org/10.1007/s12192-017-0855-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904087PMC
May 2018
5 Reads

A case of seminoma presented with clinical manifestations of testicular torsion.

Arch Ital Urol Androl 2017 Oct 3;89(3):236-237. Epub 2017 Oct 3.

Fatih Sultan Mehmet Research & Training Hospital, Dept. of Urology, Istanbul.

Testicular tumors rarely manifest themselves with clinical picture of testicular torsion. In this presentation of ours, we reported a 30-year-old patient whose post-orchiectomy histopathology report revealed the presence of seminoma. The patient consulted us with acute scrotum whose physical examination and Doppler ultrasonographic findings showed testicular torsion. Read More

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http://dx.doi.org/10.4081/aiua.2017.3.236DOI Listing
October 2017
8 Reads

The Monitoring of Preoperative External Detorsion with Diffusion-Weighted Imaging in a Patient with Acute Testicular Torsion.

Case Rep Radiol 2017 28;2017:3702873. Epub 2017 Aug 28.

Department of Radiology, School of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.

Testicular torsion is one of the main causes of acute scrotum and may result in permanent damage of the testicular tissue. Color Doppler imaging has been frequently used in the diagnosis of testicular torsion and posttreatment follow-up period of the disease. There are some studies reporting the value and usefulness of diffusion-weighted imaging in the diagnosis of testicular torsion. Read More

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http://dx.doi.org/10.1155/2017/3702873DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5592413PMC
August 2017
16 Reads

Neonatal adrenal hemorrhage presenting as "Acute Scrotum"-looking beyond the obvious: a sonographic insight.

J Ultrasound 2017 Sep 28;20(3):253-259. Epub 2017 Apr 28.

Department of Radio-diagnosis, University College of Medical Sciences (University of Delhi) and GTB Hospital, Dilshad Garden, Delhi, 110095 India.

Acute swelling and discoloration of scrotum in new born can have many localized causes like testicular torsion, inguinal hernia, scrotal or testicular edema, hydrocele, or even remote causes like adrenal hemorrhage. We report a neonate of adrenal hemorrhage presenting clinically as acute scrotum misguiding the clinician to rule out a local scrotal pathology. As the local clinical examination is not reliable in a newborn, it definitely requires an imaging evaluation to establish the diagnosis. Read More

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http://dx.doi.org/10.1007/s40477-017-0248-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573699PMC
September 2017
11 Reads

Torsed appendix epididymis in an adult: misdiagnosis as tumor of tunica vaginalis on sonography.

J Med Ultrason (2001) 2018 Apr 7;45(2):363-365. Epub 2017 Sep 7.

Department of Pathology, Kyung Hee University Hospital at Gangdong, 149 Sangil-Dong, Gangdong-Gu, Seoul, 134-727, Republic of Korea.

We report the sonographic findings in a case of torsed appendix epididymis that occurred in an adult, which was misdiagnosed as a tunica vaginalis tumor such as cystic mesothelioma. Scrotal gray-scale sonography revealed an ovoid-shaped, heterogeneously hypoechoic mass with multiple tiny cystic foci and thick septa in the sac of the right tunica vaginalis, which abuts to the right epididymal head. Color Doppler sonography showed no blood flow within the mass. Read More

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http://dx.doi.org/10.1007/s10396-017-0828-zDOI Listing
April 2018
5 Reads

Ultrasound Emergencies of the Male Pelvis.

Semin Ultrasound CT MR 2017 Aug 20;38(4):327-344. Epub 2017 Feb 20.

Department of Radiology, Program Director Radiology Residency Program, Baystate Medical Center, University of Massachusetts, Springfield, MA.

Male pelvic emergencies are uncommon, and symptoms typically include scrotal pain, scrotal enlargement, or a palpable scrotal mass or all of these. Ultrasound is often the first-line modality for evaluation of male pelvic emergencies, which may be stratified into vascular, infectious, or traumatic causes. Entities such as testicular torsion, Fournier gangrene, and testicular dislocation are surgical emergencies and should not be missed or misdiagnosed, as this may cause a significant delay in urgently necessary treatment. Read More

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http://dx.doi.org/10.1053/j.sult.2017.02.002DOI Listing
August 2017
20 Reads

Pediatric scrotal ultrasound: review and update.

Pediatr Radiol 2017 Aug 4;47(9):1125-1133. Epub 2017 Aug 4.

Department of Radiology, Stanford University School of Medicine, Lucile Packard Children's Hospital at Stanford, 725 Welch Road, Room 1890, Stanford, CA, 94304-5913, USA.

In this pictorial essay the authors review the normal sonographic gray-scale and Doppler appearance of the pediatric scrotum with an emphasis on technique. The authors present an update on ultrasound diagnosis and outcomes in testicular torsion and differentiation from other acute scrotal processes, as well as sonographic imaging of testicular microlithiasis and uncommon or atypical scrotal masses including splenogonadal fusion, polyorchidism, meconium peritonitis and epidermoid cyst. Further, the authors discuss testicular neoplasms in the context of testicular microlithiasis. Read More

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http://dx.doi.org/10.1007/s00247-017-3923-9DOI Listing
August 2017
8 Reads

Ultrasonographic findings in the epididymis of pediatric patients with testicular torsion.

J Pediatr Urol 2017 Aug 19;13(4):393.e1-393.e6. Epub 2017 Jun 19.

Division of Pediatric Urology, Department of Surgery, Texas Children's Hospital, Houston, TX, USA; Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.

Introduction: Although grayscale ultrasound and color Doppler ultrasound characteristics of the torsed testis are well established in the literature, less is known about its anatomic partner: the epididymis.

Objective: The purpose of this study was to describe the ultrasound characteristics of the epididymis in pediatric patients with testicular torsion, and to describe their potential role as prognostic criteria for testicular salvage outcomes.

Study Design: During a retrospective review of 217 pediatric patients with acute testicular torsion during 2009-2016, morphological features of the epididymis from scrotal ultrasounds (size, parenchymal characteristics, and vascular flow of both epididymis heads), as well as patient demographics, time duration, surgical outcomes, histopathology results, and follow-up periods were analyzed. Read More

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http://dx.doi.org/10.1016/j.jpurol.2017.05.018DOI Listing
August 2017
5 Reads

Scrotal Ultrasound for Pain: Low Frequency of Absolute Surgical Indications.

Urology 2017 Oct 10;108:17-21. Epub 2017 Jul 10.

Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address:

Objective: To examine the results of scrotal ultrasounds (US) conducted for scrotal or testicular pain and review the pathologic findings of orchiectomies done for lesions that were suspicious for malignancy on US.

Materials And Methods: We retrospectively reviewed the indications and findings of all scrotal US completed at our institution from 2002 to 2014. If a patient underwent an orchiectomy for an intratesticular lesion that was concerning for malignancy on US, the pathology report was also reviewed. Read More

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http://dx.doi.org/10.1016/j.urology.2017.06.007DOI Listing
October 2017
11 Reads

Testicular ultrasensitive Doppler preliminary experience: a feasibility study.

Acta Radiol 2018 Mar 1;59(3):346-354. Epub 2017 Jun 1.

3 Institut Langevin, ESPCI Paris, PSL Research University CNRS UMR 7587, INSERM U979, Paris, France.

Background Ultrasensitive Doppler is a novel non-invasive ultrasound (US) Doppler technique that improves sensitivity and resolution for the detection of slow flow. Purpose To investigate the feasibility of ultrasensitive Doppler (USD) for testicular disease diagnosis, using both qualitative and quantitative results. Material and Methods This prospective study was conducted in 160 successive men referred for scrotal US including B-mode and conventional Color-Doppler. Read More

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http://dx.doi.org/10.1177/0284185117713350DOI Listing
March 2018
20 Reads

Segmental testicular infarction: a case report.

J Med Case Rep 2017 May 18;11(1):140. Epub 2017 May 18.

Department of Urology, University Hospital Brussels (UZ Brussel), Laarbeeklaan 101, 1090, Brussels, Belgium.

Background: Segmental testicular infarction is a very rare condition, which can mimic a testicular torsion or testicular cancer. Correct diagnosis is difficult but it is important to avoid unnecessary radical treatment.

Case Presentation: We report a clinical case of a 36-year-old white man who presented at our emergency department with subacute testicular pain. Read More

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http://dx.doi.org/10.1186/s13256-017-1308-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436421PMC
May 2017
14 Reads

[Diagnostic Imaging in Cases of Acute Scrotum].

Aktuelle Urol 2017 Sep 16;48(5):443-451. Epub 2017 May 16.

Sektion Kinderradiologie, Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsmedizin Mainz, Mainz.

Acute scrotum is one of the most common urologic emergencies in children and adolescents. This condition involves acute testicular pain, which is often accompanied by scrotal swelling and erythema. It is most important to distinguish between cases that require immediate surgery and those that can be treated conservatively. Read More

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http://dx.doi.org/10.1055/s-0043-100497DOI Listing
September 2017
15 Reads

[Long-term evolution of detorsion of the testes after acute scrotum].

Cir Pediatr 2016 Oct 10;29(4):171-174. Epub 2016 Oct 10.

Servicio de Cirugía Pediátrica. Hospital Universitario Miguel Servet. Zaragoza.

Objectives: To assess the long-term evolution of the testicles preserved after testicular torsion (TT).

Material And Methods: We realized a prospective study by ultrasound of patients diagnosed TT that underwent orchidopexy. We reviewed 85 patients treated for acute scrotum (2004-2014), finding 49TT. Read More

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October 2016
18 Reads

Factors Associated with Delayed Presentation and Misdiagnosis of Testicular Torsion: A Case-Control Study.

J Pediatr 2017 07 18;186:200-204. Epub 2017 Apr 18.

Division of Pediatric Urology, Children's National Health System, Washington, DC.

We identified factors associated with delay in presentation and misdiagnosis of testicular torsion. Compared with acute cases, delayed presentations were more likely to report isolated abdominal pain, developmental disorders, and history of recent genital trauma. Failure to perform a genitourinary examination or scrotal imaging was associated with misdiagnosis. Read More

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http://dx.doi.org/10.1016/j.jpeds.2017.03.037DOI Listing
July 2017
6 Reads

Inguinoscrotal pathology.

Can Urol Assoc J 2017 Jan-Feb;11(1-2Suppl1):S41-S46

Department of Surgery, Division of Pediatric Urology, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada.

Infants, children, and adolescents with inguinoscrotal pathology comprise a significant proportion of emergency department and outpatient visits. Visits to the emergency department primarily comprise individuals presenting with scrotal pain due to testicular torsion or torsion of the testicular appendages. At such time, immediate urological consultation is sought. Read More

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http://dx.doi.org/10.5489/cuaj.4336DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5332234PMC
March 2017
4 Reads

Torsed and Nontorsed Inguinal Undescended Testis: Comparison of Computed Tomography Findings.

J Comput Assist Tomogr 2017 Jul/Aug;41(4):633-637

From the Department of Radiology, Chaim Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objective: The aim of this study was to compare the computed tomography imaging features of a torsed inguinal testis with nontorsed inguinal testes.

Methods: Computed tomography scans of patients with undescended testes were retrospectively collected (2011-2016). Imaging features of nontorsed undescended testis were compared with a case of an inguinal torsed testis. Read More

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http://dx.doi.org/10.1097/RCT.0000000000000581DOI Listing
August 2017
10 Reads

Perinatal testicular torsion: ultrasound assessment and differential diagnosis.

Radiologia 2017 Sep - Oct;59(5):391-400. Epub 2017 Jan 20.

Área de Imagen médica, Sección de Pediatría, Hospital Universitario y Politécnico La Fe, Valencia, España.

Perinatal testicular torsion, defined as torsion occurring in the prenatal period or in the first month after birth, accounts for 10% of all cases of testicular torsion in pediatric patients. Most are extravaginal, and intravaginal torsion is rare. Its management is controversial, due to the low viability of the testis and the possibility of bilateral torsion. Read More

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http://dx.doi.org/10.1016/j.rx.2016.11.004DOI Listing
January 2019
4 Reads

Missed Torsion of the Spermatic Cord: A Common yet Underreported Event.

Urology 2017 Apr 29;102:202-206. Epub 2016 Dec 29.

Unit of Pediatric Urology, Schneider Children's Medical Center of Israel, Petah Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objective: To describe the incidence of missed diagnosis and delayed presentation in children with testicular torsion, and to identify associated risk factors.

Materials And Methods: The medical records of all children over 1 month of age diagnosed with testicular torsion between 2008 and 2014 were reviewed. Data pertaining to patient characteristics and treatment outcome were collected. Read More

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http://dx.doi.org/10.1016/j.urology.2016.12.041DOI Listing
April 2017
3 Reads

Abdominal wall ectopic testis torsion mimicking a Spigelian hernia in an adult.

Ann R Coll Surg Engl 2017 Feb 5;99(2):e65-e68. Epub 2016 Dec 5.

Norfolk and Norwich University Hospitals NHS Foundation Trust , UK.

We report an unusual case of an ectopic testis identified in a 37-year-old man presenting with acute severe right iliac fossa pain and an irreducible mass. Initially diagnosed as a Spigelian hernia, computed tomography and ultrasonography identified the presence of an ectopic testis in the abdominal wall. Interparietal testicular ectopia is an extremely rare condition. Read More

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http://dx.doi.org/10.1308/rcsann.2016.0335DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5392842PMC
February 2017
8 Reads

Torsion of the undescended testis detected by 99mTc testicular scintigraphy: a case report.

Nucl Med Rev Cent East Eur 2016 ;19(B):24-25

Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

We reported a case of torsion of the undescended testis in a 9-month-old boy which was diagnosed with 99mTc testicular scin-tigraphy. The scan showed diffuse increased activity in the location of the undescended testis and no photopenic area was visible. At surgery, torsion of the undescended testis was detected and fixed. Read More

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http://dx.doi.org/10.5603/NMR.2016.0034DOI Listing
March 2017
9 Reads