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Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis
Testicular sonography has contributed greatly to the preoperative diagnosis of testicular torsion in the pediatric patient and is the mainstay for evaluation of acute scrotal pain. Despite its high sensitivity and specificity, both false-negative and false-positive findings occur. Presence of docume...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895684/ https://www.ncbi.nlm.nih.gov/pubmed/29468365 http://dx.doi.org/10.1007/s00247-018-4093-0 |
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author | Bandarkar, Anjum N. Blask, Anna R. |
author_facet | Bandarkar, Anjum N. Blask, Anna R. |
author_sort | Bandarkar, Anjum N. |
collection | PubMed |
description | Testicular sonography has contributed greatly to the preoperative diagnosis of testicular torsion in the pediatric patient and is the mainstay for evaluation of acute scrotal pain. Despite its high sensitivity and specificity, both false-negative and false-positive findings occur. Presence of documented Doppler flow within the testis might be a dissuading factor for surgical exploration with resultant testicular loss in the false-negative cases. Our goal is to illustrate key sonographic features in the spectrum of testicular torsion with preserved testicular flow, and to describe how to differentiate testicular torsion from epididymitis in order to avoid the under-diagnosis of testicular torsion. We simplify the anatomy of the bell clapper testis. We also describe our sonographic protocol for testicular torsion and share valuable tips from our approach to challenging cases. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00247-018-4093-0) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5895684 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-58956842018-04-16 Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis Bandarkar, Anjum N. Blask, Anna R. Pediatr Radiol Pictorial Essay Testicular sonography has contributed greatly to the preoperative diagnosis of testicular torsion in the pediatric patient and is the mainstay for evaluation of acute scrotal pain. Despite its high sensitivity and specificity, both false-negative and false-positive findings occur. Presence of documented Doppler flow within the testis might be a dissuading factor for surgical exploration with resultant testicular loss in the false-negative cases. Our goal is to illustrate key sonographic features in the spectrum of testicular torsion with preserved testicular flow, and to describe how to differentiate testicular torsion from epididymitis in order to avoid the under-diagnosis of testicular torsion. We simplify the anatomy of the bell clapper testis. We also describe our sonographic protocol for testicular torsion and share valuable tips from our approach to challenging cases. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00247-018-4093-0) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2018-02-21 2018 /pmc/articles/PMC5895684/ /pubmed/29468365 http://dx.doi.org/10.1007/s00247-018-4093-0 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Pictorial Essay Bandarkar, Anjum N. Blask, Anna R. Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis |
title | Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis |
title_full | Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis |
title_fullStr | Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis |
title_full_unstemmed | Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis |
title_short | Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis |
title_sort | testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis |
topic | Pictorial Essay |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895684/ https://www.ncbi.nlm.nih.gov/pubmed/29468365 http://dx.doi.org/10.1007/s00247-018-4093-0 |
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