Doppler Sonography of the Scrotum View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2015

AUTHORS

Karl-Heinz Deeg , Thomas Rupprecht , Michael Hofbeck

ABSTRACT

Duplex sonography of the scrotum is the imaging modality of choice for the differential diagnosis of the male genital tract. Investigation affords a high resolution linear transducer with a frequency of at least 10 MHz with the possibility of color and spectral Doppler. The main indication for the investigation is the differential diagnosis of the acute scrotum. Doppler sonography can differentiate between diseases with normal, increased, reduced or absent vascularity. Testicular torsion is characterized by reduced or absent vascularity of the testis and testicular cord. Spectral Doppler shows reduced or missing diastolic flow in partial torsion. Epididymitis, orchitis, idiopathic scrotal edema and vasculitis are characterized by increased vascularity in comparison with the healthy contralateral side. Torsion of the appendix testis shows no perfusion of the appendix testis and reactive hyperperfusion of the adjacent epididymis and testis. In space occupying lesions of the scrotum sonography can differentiate solid and cystic lesions. Cystic lesions (hydrocele, funiculocele, spermatocele) can be testicular or paratesticular. Cystic lesions are avascular with color Doppler. Solid lesions are testicular or paratesticular neoplasms which show various vascularization which is often not characteristic for specific tumors. Additional indications are inguinal hernia, varicoceles and traumatic injuries to the scrotum and testis. Doppler sonography can differentiate between haematoceles, testicular contusion and disruption of the testis. More... »

PAGES

597-653

References to SciGraph publications

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  • Book

    TITLE

    Doppler Sonography in Infancy and Childhood

    ISBN

    978-3-319-03505-5
    978-3-319-03506-2

    Author Affiliations

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/978-3-319-03506-2_13

    DOI

    http://dx.doi.org/10.1007/978-3-319-03506-2_13

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1046461773


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