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Color Doppler sonography in the evaluation of the adult acute scrotum.
Links Comment in: J Ultrasound Med. 1993 Apr;12(4):200. Color Doppler sonography in the evaluation of the adult acute scrotum. Fitzgerald SW, Erickson S, DeWire DM, Foley WD, Lawson TL, Begun FP, Lawson RKJ Ultrasound Med. 1992 Oct;11(10):543-8. Links Comment in: J Ultrasound Med. 1993 Apr;12(4):200. Color Doppler sonography in the evaluation of the adult acute scrotum. Fitzgerald SW, Erickson S, DeWire DM, Foley WD, Lawson TL, Begun FP, Lawson RK. Department of Radiology, Northwestern University Medical School, Chicago, IL. 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. PMID: 1404585 [PubMed - indexed for MEDLINE] Related Links The normal and abnormal scrotum in children: evaluation with color Doppler sonography. [AJR Am J Roentgenol. 1992] PMID: 1739005 Does color Doppler sonography improve the clinical assessment of patients with acute scrotum? [Eur J Radiol. 2006] PMID: 16730939 Suspected testicular torsion and ischemia: evaluation with color Doppler sonography. [Radiology. 1990] PMID: 2188301 Critical validation of colour Doppler ultrasound in diagnostics of acute scrotum in children. [Eur J Pediatr Surg. 2003] PMID: 14743326 Gray-scale and power doppler sonographic appearances of acute inflammatory diseases of the scrotum. [J Clin Ultrasound. 2000] PMID: 10641002 See all Related Articles... Display Summary Brief Abstract AbstractPlus Citation MEDLINE XML UI List LinkOut ASN.1 Related Articles Cited Articles Cited in Books CancerChrom Links Domain Links 3D Domain Links GEO DataSet Links Gene Links Gene (GeneRIF) Links Genome Links Project Links GENSAT Links GEO Profile Links HomoloGene Links Nucleotide Links Nucleotide (RefSeq) Links OMIA Links OMIM (calculated) Links OMIM (cited) Links BioAssay Links Compound Links Compound via MeSH Substance Links Substance via MeSH PMC Links Cited in PMC PopSet Links Probe Links Protein Links Protein (RefSeq) Links SNP Links Structure Links Taxonomy via GenBank UniGene Links UniSTS Links Show 5 10 20 50 100 200 500 Sort by Pub Date First Author Last Author Journal Send to Text File Printer Clipboard E-mail Order .
Department of Radiology, Northwestern University Medical School, Chicago, IL.
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.
This abstract is being posted for educational purposes, as well as for comment and criticism, by the visitors to the Epididymitis Foundation website (EpididymitisFoundation.org). This abstract is representative of a larger article that is indexed on Medline.
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