Epididymoorchitis ultrasound: Difference between revisions
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A color [[Doppler ultrasound]] is mainly done to rule out [[testicular torsion]]<ref name="pmid18061028">{{cite journal |vauthors=Tracy CR, Steers WD, Costabile R |title=Diagnosis and management of epididymitis |journal=Urol. Clin. North Am. |volume=35 |issue=1 |pages=101–8; vii |year=2008 |pmid=18061028 |doi=10.1016/j.ucl.2007.09.013 |url=}}</ref> and is the diagnostic imaging of choice in evaluating cases of [[acute]] [[scrotum]].<ref name="pmid11350430">{{cite journal |vauthors=Luzzi GA, O'Brien TS |title=Acute epididymitis |journal=BJU Int. |volume=87 |issue=8 |pages=747–55 |year=2001 |pmid=11350430 |doi= |url=}}</ref> Epididymoorchitis might show a thickened [[epididymis]] with normal to increased [[Doppler]] wave pulsations, consistent with a normal to increased [[blood flow]] | A color [[Doppler ultrasound]] is mainly done to rule out [[testicular torsion]]<ref name="pmid18061028">{{cite journal |vauthors=Tracy CR, Steers WD, Costabile R |title=Diagnosis and management of epididymitis |journal=Urol. Clin. North Am. |volume=35 |issue=1 |pages=101–8; vii |year=2008 |pmid=18061028 |doi=10.1016/j.ucl.2007.09.013 |url=}}</ref> and is the diagnostic imaging of choice in evaluating cases of [[acute]] [[scrotum]].<ref name="pmid11350430">{{cite journal |vauthors=Luzzi GA, O'Brien TS |title=Acute epididymitis |journal=BJU Int. |volume=87 |issue=8 |pages=747–55 |year=2001 |pmid=11350430 |doi= |url=}}</ref> Epididymoorchitis might show a thickened [[epididymis]] with normal to increased [[Doppler]] wave pulsations, consistent with a normal to increased [[blood flow]] | ||
==Ultrasound== | ==[[Ultrasound]]== | ||
A color [[Doppler ultrasound]] is mainly done to rule out [[testicular torsion]]<ref name="pmid18061028">{{cite journal |vauthors=Tracy CR, Steers WD, Costabile R |title=Diagnosis and management of epididymitis |journal=Urol. Clin. North Am. |volume=35 |issue=1 |pages=101–8; vii |year=2008 |pmid=18061028 |doi=10.1016/j.ucl.2007.09.013 |url=}}</ref> and is the diagnostic imaging of choice in evaluating cases of [[acute]] [[scrotum]].<ref name="pmid11350430">{{cite journal |vauthors=Luzzi GA, O'Brien TS |title=Acute epididymitis |journal=BJU Int. |volume=87 |issue=8 |pages=747–55 |year=2001 |pmid=11350430 |doi= |url=}}</ref> While this test is of high accuracy and [[testicular torsion]] cannot be ruled out based on the history and physical examination findings alone, some cases of [[testicular torsion]] can be missed on a [[Doppler ultrasound]].<ref name="pmid9651416">{{cite journal |vauthors=Kadish HA, Bolte RG |title=A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages |journal=Pediatrics |volume=102 |issue=1 Pt 1 |pages=73–6 |year=1998 |pmid=9651416 |doi= |url=}}</ref> A color [[Doppler ultrasound]] is used to asses [[perfusion]] of the [[testicles]], as well as evaluate the [[anatomy]] of the [[scrotal]] contents:<ref name="pmid19378875">{{cite journal |vauthors=Trojian TH, Lishnak TS, Heiman D |title=Epididymitis and orchitis: an overview |journal=Am Fam Physician |volume=79 |issue=7 |pages=583–7 |year=2009 |pmid=19378875 |doi= |url=}}</ref> | A color [[Doppler ultrasound]] is mainly done to rule out [[testicular torsion]]<ref name="pmid18061028">{{cite journal |vauthors=Tracy CR, Steers WD, Costabile R |title=Diagnosis and management of epididymitis |journal=Urol. Clin. North Am. |volume=35 |issue=1 |pages=101–8; vii |year=2008 |pmid=18061028 |doi=10.1016/j.ucl.2007.09.013 |url=}}</ref> and is the diagnostic imaging of choice in evaluating cases of [[acute]] [[scrotum]].<ref name="pmid11350430">{{cite journal |vauthors=Luzzi GA, O'Brien TS |title=Acute epididymitis |journal=BJU Int. |volume=87 |issue=8 |pages=747–55 |year=2001 |pmid=11350430 |doi= |url=}}</ref> While this test is of high accuracy and [[testicular torsion]] cannot be ruled out based on the history and physical examination findings alone, some cases of [[testicular torsion]] can be missed on a [[Doppler ultrasound]].<ref name="pmid9651416">{{cite journal |vauthors=Kadish HA, Bolte RG |title=A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages |journal=Pediatrics |volume=102 |issue=1 Pt 1 |pages=73–6 |year=1998 |pmid=9651416 |doi= |url=}}</ref> A color [[Doppler ultrasound]] is used to asses [[perfusion]] of the [[testicles]], as well as evaluate the [[anatomy]] of the [[scrotal]] contents:<ref name="pmid19378875">{{cite journal |vauthors=Trojian TH, Lishnak TS, Heiman D |title=Epididymitis and orchitis: an overview |journal=Am Fam Physician |volume=79 |issue=7 |pages=583–7 |year=2009 |pmid=19378875 |doi= |url=}}</ref> | ||
*[[Testicular torsion]] shows a normal-appearing [[testis]] with decreased [[Doppler]] wave pulsations, consistent with decreased [[blood flow]] | *[[Testicular torsion]] shows a normal-appearing [[testis]] with decreased [[Doppler]] wave pulsations, consistent with decreased [[blood flow]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
A color Doppler ultrasound is mainly done to rule out testicular torsion[1] and is the diagnostic imaging of choice in evaluating cases of acute scrotum.[2] Epididymoorchitis might show a thickened epididymis with normal to increased Doppler wave pulsations, consistent with a normal to increased blood flow
Ultrasound
A color Doppler ultrasound is mainly done to rule out testicular torsion[1] and is the diagnostic imaging of choice in evaluating cases of acute scrotum.[2] While this test is of high accuracy and testicular torsion cannot be ruled out based on the history and physical examination findings alone, some cases of testicular torsion can be missed on a Doppler ultrasound.[3] A color Doppler ultrasound is used to asses perfusion of the testicles, as well as evaluate the anatomy of the scrotal contents:[4]
- Testicular torsion shows a normal-appearing testis with decreased Doppler wave pulsations, consistent with decreased blood flow
- Epididymoorchitis might show a thickened epididymis with normal to increased Doppler wave pulsations, consistent with a normal to increased blood flow
If there is a high index of suspicion for testicular torsion, surgical exploration and intervention should not be delayed for sonography.[5]
References
- ↑ 1.0 1.1 Tracy CR, Steers WD, Costabile R (2008). "Diagnosis and management of epididymitis". Urol. Clin. North Am. 35 (1): 101–8, vii. doi:10.1016/j.ucl.2007.09.013. PMID 18061028.
- ↑ 2.0 2.1 Luzzi GA, O'Brien TS (2001). "Acute epididymitis". BJU Int. 87 (8): 747–55. PMID 11350430.
- ↑ Kadish HA, Bolte RG (1998). "A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages". Pediatrics. 102 (1 Pt 1): 73–6. PMID 9651416.
- ↑ Trojian TH, Lishnak TS, Heiman D (2009). "Epididymitis and orchitis: an overview". Am Fam Physician. 79 (7): 583–7. PMID 19378875.
- ↑ Ludwig M (2008). "Diagnosis and therapy of acute prostatitis, epididymitis and orchitis". Andrologia. 40 (2): 76–80. doi:10.1111/j.1439-0272.2007.00823.x. PMID 18336454.