EURORAD ESR

Case 8951

Testicular ischemic necrosis following blunt trauma

Author(s)
Tonolini M, Campari A.
 
Patient
male, 11 year(s)
 
 
  • Figure 1
    Scrotal US
     

    Longitudinal (a) and trasversal (b) ultrasound images show a large (nearly 2,5 cm) mixed hyperechoic extratesticular mass consistent with hematoma, compressing and dislocating the right testis.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Special Focus: Trauma;

    Longitudinal (a) and trasversal (b) ultrasound images show a large (nearly 2,5 cm) mixed hyperechoic extratesticular mass consistent with hematoma, compressing and dislocating the right testis.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Special Focus: Trauma;

    At power Doppler US both the extratesticular hematoma and the right testis show no appreaciable vascularity.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Special Focus: Trauma;

    The right testis appears enlarged and hypoechoid compared to the contralateral one.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Special Focus: Trauma;
     
     
  • Figure 2
    Scrotal MR - T2-weighted scans
     

    On axial (a) and coronal (b) T2-weighted images the right hemiscrotum is occupied by a large mass, consisting in hyperintense extratesticular hematoma and medially-compressed testis with abnormal signal compared to...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Trauma;

    On axial (a) and coronal (b) T2-weighted images the right hemiscrotum is occupied by a large mass, consisting in hyperintense extratesticular hematoma and medially-compressed testis with abnormal signal compared to...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Special Focus: Trauma;

    On axial (a) and coronal (b) T2-weighted images the right hemiscrotum is occupied by a large mass, consisting in hyperintense extratesticular hematoma and medially-compressed testis with abnormal signal compared to...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Special Focus: Trauma;
     
     
  • Figure 3
    Scrotal MR - Unenhanced and postcontrast T1-weighted scans
     

    Unenhanced axial (a) image show mixed hyperintense signal in the right hemiscrotum consistet with the presence of extratesticular hematoma and compressed testis with abnormal signal compared to the left one (b).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Trauma;

    Unenhanced axial (a) image show mixed hyperintense signal in the right hemiscrotum consistet with the presence of extratesticular hematoma and compressed testis with abnormal signal compared to the left one (b).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Trauma;

    After iv gadolinium, on axial (c) and coronal (d) postcontrast T1-weighted images the right testis and extratesticular hematoma do not enhance.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Trauma;

    After iv gadolinium, on axial (c) and coronal (d) postcontrast T1-weighted images the right testis and extratesticular hematoma do not enhance.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Special Focus: Trauma;
     
     
Longitudinal (a) and trasversal (b) ultrasound images show a large (nearly 2,5 cm) mixed hyperechoic extratesticular mass consistent with hematoma, compressing and dislocating the right testis.
 
Longitudinal (a) and trasversal (b) ultrasound images show a large (nearly 2,5 cm) mixed hyperechoic extratesticular mass consistent with hematoma, compressing and dislocating the right testis.
 
At power Doppler US both the extratesticular hematoma and the right testis show no appreaciable vascularity.
 
The right testis appears enlarged and hypoechoid compared to the contralateral one.
 
On axial (a) and coronal (b) T2-weighted images the right hemiscrotum is occupied by a large mass, consisting in hyperintense extratesticular hematoma and medially-compressed testis with abnormal signal compared to the left one (c).
 
On axial (a) and coronal (b) T2-weighted images the right hemiscrotum is occupied by a large mass, consisting in hyperintense extratesticular hematoma and medially-compressed testis with abnormal signal compared to the left one (c).
 
On axial (a) and coronal (b) T2-weighted images the right hemiscrotum is occupied by a large mass, consisting in hyperintense extratesticular hematoma and medially-compressed testis with abnormal signal compared to the left one (c).
 
Unenhanced axial (a) image show mixed hyperintense signal in the right hemiscrotum consistet with the presence of extratesticular hematoma and compressed testis with abnormal signal compared to the left one (b).
 
Unenhanced axial (a) image show mixed hyperintense signal in the right hemiscrotum consistet with the presence of extratesticular hematoma and compressed testis with abnormal signal compared to the left one (b).
 
After iv gadolinium, on axial (c) and coronal (d) postcontrast T1-weighted images the right testis and extratesticular hematoma do not enhance.
 
After iv gadolinium, on axial (c) and coronal (d) postcontrast T1-weighted images the right testis and extratesticular hematoma do not enhance.
 
 
 
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