EURORAD ESR

Case 15235

A rare cause of acute scrotal pain in a 37-year-old

Author(s)
Dr. Bossu Nicolas, Prof. Dr. Oyen Raymond

UZ LEUVEN , GASTHUISBERG; HERESTRAAT 49 3000 Leuven, Belgium; Email:bossu.nicolas@gmail.com
 
Patient
male, 37 year(s)
 
 
  • Figure 1
    duplex (US+colour doppler) (sunglasses) view of both testicles
     

    Longitudinal duplex ultrasonographic view of both right and left testicle showing subtle hypoechogenicity and avascular upper pole of left testicle compared to the right.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis; Haematologic diseases; Ischaemia / Infarction;

    Annotation of the anatomy.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis; Haematologic diseases; Ischaemia / Infarction;

    Arrows indicating the abrupt but subtle change in echogenicity between upper and lower pole of the left testicle when comparing to the right testicle. Note the avascular upper pole of the left testicle.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis; Haematologic diseases; Ischaemia / Infarction;
     
     
  • Figure 2
    Follow-up examination one day later of the left testicle

    Follow-up ultrasound one day later. Longitudinal duplex ultrasonographic view of the left testicle now showing marked hypoechoic regions in the upper pole of the left testicle. Persistent avascular upper pole of the...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis; Haematologic diseases; Ischaemia / Infarction;
     
     
Longitudinal duplex ultrasonographic view of both right and left testicle showing subtle hypoechogenicity and avascular upper pole of left testicle compared to the right.
 
Annotation of the anatomy.
 
Arrows indicating the abrupt but subtle change in echogenicity between upper and lower pole of the left testicle when comparing to the right testicle. Note the avascular upper pole of the left testicle.
 
Follow-up ultrasound one day later. Longitudinal duplex ultrasonographic view of the left testicle now showing marked hypoechoic regions in the upper pole of the left testicle. Persistent avascular upper pole of the left testicle.
 
 
 
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