927 results match your criteria Testicular Torsion Imaging


Testicular Torsion Appearance and Diagnosis on Computed Tomography of the Abdomen and Pelvis: Case Report.

Clin Pract Cases Emerg Med 2022 May;6(2):117-120

University of California, Irvine, Department of Emergency Medicine, Orange, California.

Introduction: Testicular torsion, or the twisting of the spermatic cord compromising blood flow to the testis, is a urologic emergency with the potential to cause infertility in male patients. The diagnosis may be clinical or confirmed using imaging, with ultrasound being the modality of choice.

Case Report: We present a case of right lower quadrant pain with radiation to the groin and right scrotum in a young male. Read More

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[Management of testicular torsion by a general surgeon isolated in Africa].

Med Trop Sante Int 2022 Jun 4;2(2). Epub 2022 Apr 4.

Service d'urologie, Hôpital d'instruction des armées Sainte-Anne, 2 boulevard Sainte Anne, BP 600, 83000 Toulon, France.

The onset of sudden and intense scrotal pain exposes to several problems when it occurs in a young man in Africa. Among the possible etiologies, testicular torsion is the surgical emergency to rule out, because beyond 6 hours of evolution the functional prognosis of the testicle is concerned. The septic evolution towards a purulent melting, in case of exceeded torsion, is also possible. Read More

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Testicular torsion; clinical diagnosis or imaging diagnosis?

Radiol Case Rep 2022 Aug 29;17(8):2665-2667. Epub 2022 May 29.

Deptartment of Paediatric Surgery, Indira Gandhi Institute of Child Health, Bangalore, Karnataka, India.

Testicular torsion is the most common urosurgical emergency in infants, children, and young adolescents, resulting in irreversible ischemic injury within hours; hence demanding urgent surgical attention. It has a bimodal distribution with the highest incidence occurring after puberty, followed by the neonatal period peak. Though the imaging modalities are helpful in the diagnosis, nothing can supersede the clinical findings and judgment. Read More

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Current risk landscape of point-of-care ultrasound in pediatric emergency medicine in medical malpractice litigation.

Am J Emerg Med 2022 May 13;58:16-21. Epub 2022 May 13.

Departments of Pediatrics and Emergency Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States of America.

Background: Point-of-care ultrasound (PoCUS) is expanding as a diagnostic tool in pediatric emergency medicine. Pediatricians are apprehensive to take on the risk of malpractice from incorrect interpretation of PoCUS imaging, therefore limiting its use. Although current studies provide reassurance to this concern, none look directly at the risk for pediatric emergency medicine physicians. Read More

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Vasitis mimicking an inguinal hernia: A diagnostic dilemma.

Urol Case Rep 2022 Jul 25;43:102097. Epub 2022 Apr 25.

The Tweed Hospital, Tweed Heads, NSW, 2485, Australia.

Vasitis is a rare disorder characterised by inflammation of the vas deferens. It presents with scrotal or inguinal pain/swelling, mimicking the more commonly occurring conditions such as epididymitis, orchitis, testicular torsion or an incarcerated inguinal hernia. While ultrasound may exclude some of these differential diagnoses, computed tomography (CT) or Magnetic resonance imaging (MRI) is needed to distinguish vasitis from an incarcerated inguinal hernia. Read More

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Computed tomography of testicular torsion in a juvenile dog with unilateral cryptorchidism.

Can Vet J 2022 05;63(5):515-520

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Wisconsin, USA (Slaughter, Eitzer, Tolliver, Holman, Colopy, Hoey, Loeber); School of Veterinary Medicine, University College Dublin, Ireland (Hoey).

A 14-week-old male unilaterally cryptorchid Clumber spaniel was presented for acute lethargy. Physical examination revealed abdominal pain, and a single testis was palpated in the scrotum. Abdominal ultrasound and computed tomography (CT) revealed a poorly vascularized, ovoid structure immediately caudal to the left kidney with scant regional peritoneal effusion. Read More

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Testicular volume and Tanner stage: determinant factors for testicular torsion.

Einstein (Sao Paulo) 2022 20;20:eAO6605. Epub 2022 Apr 20.

Hospital de Clínicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.

Objective: To assess testicular volumes and sexual maturation in patients with testicular torsion.

Methods: A retrospective analysis of consecutively treated patients with testicular torsion between 2016 and 2018. Age, pubic hair staging (Tanner), and by ultrasonography, volume of the unaffected testis (in cubic centimeters) were evaluated either immediately before surgery or at the first postoperative visit. Read More

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Pathologic Conditions at Imaging of the Spermatic Cord.

Radiographics 2022 May-Jun;42(3):741-758. Epub 2022 Apr 8.

From the Department of Radiology and Biomedical Imaging, Yale University School of Medicine, 333 Cedar St, PO Box 208042, Room TE-2, New Haven, CT 06520 (N.K., N. Solomon, M.V.R.); Stanford University, Stanford, Calif (N. Segaran); Zucker School of Medicine at Hofstra/Northwell, Department of Radiology, Northwell Health System, Manhasset, NY (J.S.P.); Department of Radiology, NYU Winthrop University Hospital, Mineola, NY (D.S.K.); and Department of Radiology, University of Washington Medical Center, Seattle, Wash (M.M.).

A wide range of benign and malignant processes can affect the spermatic cord (SC). Familiarity with and recognition of the characteristic imaging features of these entities are imperative for accurate diagnosis and optimal clinical care. While some SC diseases are self-limiting, others can result in infertility and potentially life-threatening infection or bleeding if they are left untreated. Read More

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Testicular volume loss in the long-term follow-up after surgical detorsion of the testis.

Pediatr Surg Int 2022 Jun 2;38(6):907-911. Epub 2022 Apr 2.

Department of Radiology, Division of Pediatric Radiology, Konya City Hospital, Konya, Turkey.

Aim: The aim of this study is to evaluate sonographic testicular volume of patients who underwent surgical detorsion due to testicular torsion and to reveal the frequency of long-term testicular volume loss and the factors affecting it.

Method: The files of patients who underwent surgical detorsion due to unilateral testicular torsion in our hospital between 2011 and 2019 were reviewed retrospectively. Age at the time of detorsion surgery, time from the onset of pain to surgery, degree of torsion, and ultrasonographic testicular volumes before detorsion were noted. Read More

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Diagnosing with a TWIST: Systematic Review and Meta-Analysis of a Testicular Torsion Risk Score.

J Urol 2022 07 3;208(1):62-70. Epub 2022 Mar 3.

Department of Urology, Austin Health, Heidelberg, Melbourne, Victoria, Australia.

Purpose: The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score is a 7-point tool to evaluate acute scrotal pain. Parameters include testicular swelling (2 points), hard testis (2), high-riding testis (1), absent cremasteric reflex (1) and nausea/vomiting (1). This review aimed to determine the diagnostic utility of TWIST and its role in risk stratification. Read More

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Multiple vas deferens with polyorchidism and many congenital malformations in a symptomatic 11-year-old male patient: a rare case report.

BMC Urol 2022 Feb 23;22(1):26. Epub 2022 Feb 23.

Department of Urological Surgery, Surgical Kidney Hospital, Damascus, Syrian Arab Republic.

Background: Ductus deferens may manifest in a variety of anomalies such as its absence, duplication, ectopy, or diverticulum. Ectopic seminal tract opening has two main types, ectopic ejaculatory duct opening, and ectopic vas deferens opening. Generally, ductus deferens anomalies affect approximately 0. Read More

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February 2022

Management of acute testicular pain in children: changing trends with improvements in scrotal ultrasonography over 18 years.

Singapore Med J 2022 Feb 24. Epub 2022 Feb 24.

Paediatric Surgery, KK Women's and Children's Hospital, Singapore.

Introduction: Doppler scrotal ultrasonography (US) is the modality of choice in diagnosing testicular torsion. We aimed to evaluate the performance of scrotal US in diagnosing testicular torsion over the past 18 years in our institution and determine the factors contributing to the length of wait times for it.

Methods: A retrospective review was conducted of boys who presented with acute scrotal pain from 2014 to 2015. Read More

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February 2022

Pearls and Pitfalls of Pediatric Scrotal Imaging.

Semin Ultrasound CT MR 2022 Feb 16;43(1):115-129. Epub 2021 May 16.

Department of Radiology, LeBonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN. Electronic address:

Ultrasonography (US) is the primary imaging modality for the evaluation of pediatric scrotal disease. The ability to obtain exceptional anatomical detail and testicular perfusion information without ionizing radiation makes it the essential tool for evaluating scrotal pain and palpable masses. Challenges arise in both the performance and interpretation of scrotal US in the child. Read More

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February 2022

Splenogonadal fusion in an infant

Orv Hetil 2022 02 13;163(7):288-290. Epub 2022 Feb 13.

3 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Klinikai Központ, Gyermekgyógyászati Klinika, Gyermek Manuális Tanszék Pécs Magyarország.

Összefoglaló. A splenogonadalis fúzió ritka fejlődési rendellenesség, melynek lényege az ivarmirigy (leggyakrabban a here) és a lépszövet rendellenes kapcsolódása. A szerzők egy féléves csecsemő esetét kívánják bemutatni, akinél már a megszületést követően észlelhető volt a bal oldali here megnagyobbodása. Read More

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February 2022

Detection of Testicular Torsion With Preserved Intratesticular Flow By Point of Care Ultrasound in the Emergency Department: A Case Report.

J Emerg Med 2022 04 22;62(4):e88-e90. Epub 2022 Jan 22.

Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, South Korea. Electronic address:

Background: Ultrasonography is an effective diagnostic tool for testicular torsion (TT), which is typically characterized by the absence of blood flow in the affected testicle on color Doppler mode. However, there are a few reported cases of TT with symmetrical preserved flow. We report a case of TT with the preserved intratesticular flow on color Doppler ultrasound. Read More

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Spontaneous Bilateral Spermatic Vein Thrombosis: A Rare Clinical Presentation.

Cureus 2021 Dec 4;13(12):e20161. Epub 2021 Dec 4.

General Medicine, Employees' State Insurance Corporation Hospital, Kollam, IND.

Cases of acute scrotum presenting to the emergency department are usually due to testicular torsion, complicated hernia, or epididymo-orchitis. Thrombosis of the spermatic vein is an uncommon entity and most of the cases reported to date are of unilateral involvement. Here, we present an extremely rare case of spontaneous bilateral spermatic vein thrombosis, which was diagnosed by a Doppler ultrasound of the testes. Read More

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December 2021

Testicular torsions in veterinary medicine.

Vet Res Commun 2022 Jun 10;46(2):303-313. Epub 2022 Jan 10.

Department of Clinical Sciences, Faculty of Veterinary Medicine, Lorestan University, Khorramabad, Iran.

The purpose of this review is to provide a comprehensive comparison of spermatic cord torsion in domestic animals. Spermatic cord torsion leads to occlusion of testicular blood flow resulting in ischemia and tissue hypoxia. Spermatic cord torsion has been reported in all domestic mammals but dogs and horses are overrepresented. Read More

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Parenchymal echotexture changes as a predictor of viability in testicular torsion.

Emerg Radiol 2022 Apr 7;29(2):359-363. Epub 2022 Jan 7.

Department of Urology, Hadassah University Hospital, Jerusalem, Israel.

Introduction: Preoperative test that can predict the salvageability of the torsed testis may add essential information to the surgeon managing testicular torsion (TT), this can assist with patients' and parents' expectations, particularly with nonviable testes. We aimed to examine if parenchymal echotexture changes in preoperative ultrasound can predict irreversible hemorrhagic necrosis.

Materials And Methods: Preoperative ultrasound studies of 154 patients with TT were reviewed by 3 raters (2 radiologists and 1 urologist). Read More

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Abdominal Pain in the Emergency Department: Missed Diagnoses.

Emerg Med Clin North Am 2021 Nov 9;39(4):703-717. Epub 2021 Sep 9.

Department of Emergency Medicine, Ochsner Medical Center, 1514 Jefferson Highway, New Orleans, LA 70121, USA.

Abdominal pain is the most common chief complaint in the Emergency Department. Abdominal pain is caused by a variety of gastrointestinal and nongastrointestinal disorders. Some frequently missed conditions include biliary pathology, appendicitis, diverticulitis, and urogenital pathology. Read More

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November 2021

Nomogram predicting testicular torsion in Japanese patients with acute scrotal pain using physical examination findings and environmental conditions: Development and prospective external validation.

Int J Urol 2022 01 2;29(1):42-48. Epub 2021 Oct 2.

Department of Urology, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan.

Objectives: To develop a prediction tool based on physical findings and environmental conditions without utilizing color Doppler ultrasonography to guide non-urologists and patients' families in determining the testicular torsion possibility among patients with acute scrotal pain.

Methods: Overall, 110 consecutive patients aged ≤30 years with acute scrotal pain at Saitama Medical Center between 2012 and 2014 were retrospectively evaluated. Physical examination results, including scrotal inspection, palpation and gait observation, and environmental conditions at pain onset (time range and ambient temperature) were collected. Read More

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January 2022

Ultrasound use in suspected testicular torsion: an association with delay to theatre and increased intraoperative finding of non-viable testicle.

N Z Med J 2021 09 17;134(1542):50-55. Epub 2021 Sep 17.

MBChB, Intensive Care Registrar, Department of Intensive Care, Christchurch Hospital, Canterbury, New Zealand.

Aim: Testicular torsion is a surgical emergency and delayed operative management can negatively impact fertility. The aims of this study were to establish patterns of ultrasound use, correlate ultrasound and intraoperative findings and determine the impact of ultrasound on admission-to-operation time in patients undergoing scrotal exploration for suspected torsion.

Method: All adult patients who underwent acute scrotal exploration for suspected torsion between 2007 and 2017 at Auckland City Hospital were included (n=316). Read More

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September 2021

Microvascular imaging ultrasound (MicroV) and power Doppler vascularization analysis in a pediatric population with early scrotal pain onset.

Jpn J Radiol 2022 Feb 13;40(2):192-201. Epub 2021 Sep 13.

Department of Biomedical and Dental Sciences and of Morphofunctional Imaging, University of Messina, AOU Policlinico Universitario "G. Martino", Via Consolare Valeria 1, 98122, Messina, Italy.

Introduction: The power Doppler is a useful tool in the evaluation of pediatric acute scrotal pain. Nonetheless, it may have some inherent limitations in scrotal vascularization analysis, potentially causing unnecessary surgery. The microvascular imaging ultrasound (MicroV) is an innovative Doppler technique able to improve the detection of very low flow. Read More

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February 2022

Multiparametric ultrasound in torsion of the testicular appendages: a reliable diagnostic tool?

Med Ultrason 2022 Feb 11;24(1):33-37. Epub 2021 Sep 11.

Department of Radiology, Medical University Innsbruck, Anichstr. 35, 6020 Innsbruck, Austria.

Aim: Torsion of the testicular appendages represents the most common cause of an acute scrotum in prepubertal boys. Its sonographic appearances on gray-scale US and color Doppler US have already been presented in several studies. The aim of this analysis was to expand those already established techniques with strain elastography and thus present typical features of this entity on multiparametric US. Read More

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February 2022

Perinatal Torsion Testis-An Enigma.

Indian J Pediatr 2022 Mar 25;89(3):292. Epub 2021 Aug 25.

Pediatric Surgery Unit, Abhishek Child Care, Jamshedpur, Jharkhand, 831001, India.

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Impact of COVID-19 pandemic on the presentation, management and outcome of testicular torsion in the pediatric population - an analysis of a large pediatric center.

Can J Urol 2021 08;28(4):10750-10755

Division of Pediatric Urology, Children's National Hospital, Washington, DC, USA.

INTRODUCTION To examine the impact of COVID-19 pandemic on the presentation, management and outcome of testicular torsion at our institution.

Materials And Methods: A retrospective review of a prospectively maintained testicular torsion database was performed. Patients ≤ 18 years of age evaluated in our emergency room between 3/11/2020 to 10/1/2020 (during-COVID-19) and the same period in 2018 and 2019 (pre-COVID-19) with US diagnosed and OR confirmed testicular torsion were included. Read More

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Doppler ultrasound improves diagnostic accuracy for testicular torsion.

Scand J Urol 2021 Dec 9;55(6):461-465. Epub 2021 Aug 9.

Department of Urology, Helsingborg Hospital, Helsingborg, Sweden.

Background: Doppler ultrasound can diagnose testicular torsion with high sensitivity and specificity but may delay surgical treatment. This study aims to assess whether the use of doppler ultrasound, in cases with intermediate clinical suspicion of testicular torsion, can improve diagnostic accuracy compared to clinical assessment alone.

Methods: We implemented a new clinical algorithm where patients with intermediate suspicion of testicular torsion undergo doppler ultrasound within 60 min. Read More

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December 2021

Role of ultrasound in manual detorsion for testicular torsion.

J Clin Ultrasound 2021 Oct 8;49(8):860-869. Epub 2021 Jul 8.

Department of Radiology, Saitama Children's Medical Center, Saitama, Japan.

Purpose: Manual detorsion can be performed for testicular torsion before scrotal exploration. Using sonographic findings, this study investigated the need for additional treatments after manual detorsion for testicular torsion.

Methods: This study evaluated 13 retrospective cases of testicular torsion subjected to manual detorsion. Read More

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October 2021

Diagnostic Applications of Point-of-Care Ultrasound in Pediatric Emergency Medicine.

Emerg Med Clin North Am 2021 Aug;39(3):509-527

Department of Emergency Medicine, University of California, San Francisco, 550 16th Street, Box 0632, San Francisco, CA 94143, USA; Department of Pediatrics, University of California, San Francisco, 550 16th Street, Box 0632, San Francisco, CA 94143, USA.

Point-of-care ultrasound has become an essential part of pediatric emergency medicine training and practice. It can have significant clinical benefits, including improving diagnostic accuracy and decreasing length of stay, and does not require radiation exposure for patients. In this review, we summarize the current diagnostic point-of-care ultrasound applications in pediatric emergency medicine, their evidence, and techniques. Read More

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Cross-link between mitochondrial-dependent apoptosis and cell cycle checkpoint proteins after experimental torsion and detorsion in rats.

Gene 2021 Aug 24;795:145793. Epub 2021 Jun 24.

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

The current study assessed the cross-link between mitochondria-related apoptosis and cell cycle machinery systems during ischemia and reperfusion in a rat model of testicular torsion and detorsion. The Wistar male rats were divided into control, 1 h, 2 h, 4 h and 8 h testicular torsion-induced, and 1 h, 2 h, 4 h and 8 h testicular detorsion-induced groups. The Johnson's score was analyzed. Read More

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Role of multiparametric ultrasound in testicular focal lesions and diffuse pathology evaluation, with particular regard to elastography: Review of literature.

Andrology 2021 09 21;9(5):1356-1368. Epub 2021 Jun 21.

Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.

Background: Ultrasound is the main requested technique for the assessment of traumatic, vascular, neoplastic, and inflammatory testicular pathology. Moreover, the role of ultrasound has broadened over the years along with the introduction of new techniques, such as contrast enhanced ultrasound and ultrasound elastography.

Objective: An updated representation of the pre-existing Literature evidence for multiparametric ultrasound imaging with particular regard to elastography, in the evaluation of focal and diffuse testicular pathologies, has been presented. Read More

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September 2021