Uroradiology & genital male imaging
Case TypeClinical Cases
AuthorsE. Schouman-Claeys, E. Abécidan
Patient27 years, male
Scrotal trauma.
Significant swelling and pain of the right hemiscrotum, precluding clinical examination, 12 hours after blunt scrotal trauma.
Diagnosis of testicular trauma can be confidently established on the basis of the generally impressive clinical presentation and anamnestic data : a kick to the scrotum or straddle injury. Testis viability is often determined only by surgery. US may be useful when showing small purely intratesticular hematoma, with overall preserved testis echogeneity, vascularization and limits. Such cases are treated conservatively. Surgery is necessary in case of hematocele, suspicion of associated spermatic cord torsion, large parenchymal contusions, testicular fracture or albuginea laceration. However in these cases subsequent irregularities of testicular contours can be difficult to reveal. Therefore geographic patterns suggesting dissecting intratesticular hematoma, should direct to surgery.
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[2]
Martinez-Pineiro L Jr, et al. (1992)
Value of testicular ultrasound in the evaluation of blunt scrotal
trauma without haematocele.
Br J Urol. 69:286-90. (PMID: 1568102)
[3]
Ugarte R, et al. (1990)
Accuracy of ultrasound in diagnosis of rupture after blunt testicular trauma.
Urology. 36:253-4. (PMID: 2203199)
URL: | https://www.eurorad.org/case/318 |
DOI: | 10.1594/EURORAD/CASE.318 |
ISSN: | 1563-4086 |