The painful scrotum: An ultrasonographical approach to diagnosis

Many disease processes, including inflammation, testicular torsion, testicular trauma, and testicular cancer, may have a similar clinical presentation as a painful scrotum. Differentiation of these disease processes is important for proper management. High-resolution ultrasonography (US) combined wi...

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Bibliographic Details
Main Authors: Muttarak M., Lojanapiwat B.
Format: Review
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-22244477429&partnerID=40&md5=fa78c6705dfb5523e7732a8670ed886b
http://www.ncbi.nlm.nih.gov/pubmed/15968450
http://cmuir.cmu.ac.th/handle/6653943832/1873
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Institution: Chiang Mai University
Language: English
Description
Summary:Many disease processes, including inflammation, testicular torsion, testicular trauma, and testicular cancer, may have a similar clinical presentation as a painful scrotum. Differentiation of these disease processes is important for proper management. High-resolution ultrasonography (US) combined with colour Doppler ultrasonography (CDUS) is the imaging modality of choice in evaluating these patients. Gray-scale US helps to better characterise scrotal lesions. CDUS demonstrates testicular perfusion which aids in reaching a specific diagnosis. This pictorial essay is intended to review the causes, US appearances of disease processes causing the painful scrotum, and examination pitfalls of scrotal US.