EURORAD ESR

Case 15293

Bilateral intrauterine testicular torsion: ultrasound findings

Author(s)
Sertorio F, Schiaffino S, Magnano GM

G. Gaslini Institute, University of Genoa, Genova, Italy; Email:fiammetta.sertorio@gmail.com
 
Patient
male, 1 day(s)
 
 
  • Figure 1
    Swollen infant testicles

    Bilateral scrotal swelling with widespread bruising

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Surgery; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 2
    Bilateral testicular ultrasound

    Bilateral thickening of the scrotal tunics. Right intrascrotal blood effusion with sediment and left organized intrascrotal effusion

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Surgery; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 3
    Left testicular ultrasound

    Left testis markedly destructured with multiple anechoic intraparenchymal ulcerations, hypoechoic peripheral ring and thickening of the albuginea tunic. Organized intrascrotal effusion.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Surgery; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 4
    Left testicular colour-doppler ultrasound

    Lack of intraparenchymal blood flow of the left testis

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Surgery; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 5
    Right testicular colour-doppler ultrasound

    Right testis with intraparenchymal vascular spots. Intrascrotal blood effusion with sediment.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Surgery; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 6
    Left torsed and necrotic testicle

    Destructured, necrotic and haemorrhagic testicular parenchyma

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Surgery; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 7
    Right ischemic testicle

    Ischemic but not frankly necrotic right testicle

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Surgery; Special Focus: Ischaemia / Infarction;
     
     
Bilateral scrotal swelling with widespread bruising
 
Bilateral thickening of the scrotal tunics. Right intrascrotal blood effusion with sediment and left organized intrascrotal effusion
 
Left testis markedly destructured with multiple anechoic intraparenchymal ulcerations, hypoechoic peripheral ring and thickening of the albuginea tunic. Organized intrascrotal effusion.
 
Lack of intraparenchymal blood flow of the left testis
 
Right testis with intraparenchymal vascular spots. Intrascrotal blood effusion with sediment.
 
Destructured, necrotic and haemorrhagic testicular parenchyma
 
Ischemic but not frankly necrotic right testicle
 
 
 
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