Acute scrotum

A free gallery of high-resolution, ultrasound, color doppler and 3D images

Ultrasound images of acute scrotum:

Idiopathic scrotal edema:

Sonography of the scrotum was done in this child who had acute swelling of the scrotum and penis. Ultrasound images reveal 1) thickening (11mm.) of the scrotal and penile skin and subcutaneous tissue and 2) marked hyperemia of the scrotum as well as the prepuce. The testes show normal appearance on sonography. These ultrasound and color doppler images are diagnostic of idiopathic scrotal edema. Images taken using a Nemio XG color doppler machine, by Joe Antony, MD.

Reference: http://www.duj.com/Article/Thomas.html

Torsion of testes:

Testicular torsion occurs most commonly due to long spermatic cord. There are 2 types of torsion: extravaginal (usually in newborns) and intravaginal torsion (usually at puberty). In the ultrasound images above, the left testes appears swollen and mildly hypoechoic. A small left hydrocele is also present. On color doppler imaging, the left testes shows absence of blood flow. The "snail sign" is also seen in the left testes, caused by swollen testes (shell of snail) and twisted, bulky spermatic cord (body and head of snail). These ultrasound images suggest torsion of the left testes. The affected testes was removed and found to be gangrenous. Images taken using a Toshiba Xario color doppler and ultrasound machine, courtesy of Dr. Gunjan Puri, Surat, India.

Reference: 1) http://www.jultrasoundmed.org/cgi/reprint/24/1/87 (free article and images of torsion of appendix testes)

2) http://www.medscape.com/viewarticle/527887_5 (free article and images of acute scrotum, including torsion testes)

Testicular trauma (rupture of testes or fracture testes):

$fracture of testes$

$fracture of testes obvious$

This 34 yr. old male patient had a severe blunt injury to the right scrotum 2 days prior to sonography. Ultrasound images of the scrotum reveal 1) a small hypoechoic fluid collection (hematocele)l in the right tunica vaginalis sac. .

2) multiple septations within the Rt. tunica vaginalis sac

3) rupture of the tunica albuginea of the right testes

4) hypoechoic areas within the right testes s/o contusions

5) thickening of the scrotal wall (edema).

6) edematous and swollen right testes

The left testes appears normal. These ultrasound images suggest contusion and rutpture of the right testes with hematocele. These sonographic images were taken using a Pie scanner 100 Falco ultrasound machine, by Dr. Joe Antony, MD, India.

Reference: 1) http://www.emedicine.com/MED/topic2859.htm (free article and images)

2) http://www.emedicine.com/radio/topic682.htm

Ischemic orchitis:

This young male patient underwent hernia repair, following which he complained of pain and swelling of left scrotum. Sonography of the scrotum shows: 1) hypoechoic left testes 2) swelling of the left testes 3) absence of vascularity in left testes. These ultrasound and color doppler images suggest left ischemic orchitis. Ischemic orchitis is a known complication of herniorraphy. Ultrasound images courtesy of Dr. Ravi Kadasne, UAE.

Reference: 1) http://www.tabexperts.com/TesticularAtrophy.htm

2) http://en.wikipedia.org/wiki/Orchitis

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This page was last edited on: Thursday December 11, 2008 02:59 PM

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