Testicular Torsion: Twists and Turns

Testicular torsion is one of the common causes of acute scrotal pain. This review discusses the clinical and sonographic findings of intravaginal and extravaginal testicular torsion, including the normal sonographic and vascular anatomy of the testis. The role of color flow Doppler and spectral Dopp...

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Bibliographic Details
Published in:Seminars in ultrasound, CT, and MRI CT, and MRI, 2007-08, Vol.28 (4), p.317-328
Main Authors: Lin, E.P., MD, Bhatt, S., MD, Rubens, D.J., MD, Dogra, Vikram S., MD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Gynecology. Andrology. Obstetrics
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Male genital diseases
Medical sciences
Non tumoral diseases
Radiology
Sensitivity and Specificity
Spermatic Cord Torsion - diagnostic imaging
Testis - blood supply
Testis - diagnostic imaging
Ultrasonography, Doppler, Color
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Description
Summary:Testicular torsion is one of the common causes of acute scrotal pain. This review discusses the clinical and sonographic findings of intravaginal and extravaginal testicular torsion, including the normal sonographic and vascular anatomy of the testis. The role of color flow Doppler and spectral Doppler is also emphasized in the patient’s complete, incomplete, and intermittent testicular torsion. Sonographic features of testicular torsion mimics, such as vasculitis, venous thrombosis, scrotal edema, and technical parameters, are also presented. A brief description of new developments such as contrast-enhanced ultrasound, dynamic contrast magnetic resonance imaging, and near-infrared imaging is included.
ISSN:0887-2171
1558-5034
DOI:10.1053/j.sult.2007.05.008