EURORAD ESR

Case 9623

Scrotal trauma

Author(s)
Rita Gameiro, Pablo Grande, Luís Duarte Silva, Claúdia Tentúgal, Carla Bahia, Francisco Aleixo

Centro Hospitalar Barlavento Algarvio, Radiologia;
sitio do poço seco 8500 Portimão, Portugal;
Email:annagameiro@gmail.com
 
Patient
male, 22 year(s)
 
 
  • Figure 1
    Ultrasound B mode - right scrotal pouch

    Arrows: Yellow - testicular fracture Pink - one of the intra-testicular haematomas Green - testicular rupture with border irregularity Blue - haematocele Note also thickened scrotal wall

     
    Area of Interest: Emergency; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Ultrasound B mode - right scrotal pouch

    Arrows: Yellow - testicular incomplete fracture with borders separation Pink - the biggest intra-testicular haematoma Blue - haematocele

     
    Area of Interest: Emergency; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    Power Doppler ultrasound - right testicle

    No evidence of vascularisation on the most anterior part of the testicle using Power Doppler.

     
    Area of Interest: Emergency; Imaging Technique: Ultrasound-Power Doppler; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 4
    Spectral Doppler ultrasound - right testicle

    A small area at the posterior part of the testicle was the only place we could find evidence of vascularisation, showing normal flux pattern.

     
    Area of Interest: Emergency; Imaging Technique: Ultrasound-Spectral Doppler; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 5
    Power Doppler Ultrasound - left scrotal pouch

    Left testicle with normal size and homogeneus appearence. Preserved pattern of vascularisation. No extra testicle fluid collections. Moderate wall thickening.

     
    Area of Interest: Emergency; Imaging Technique: Ultrasound-Power Doppler; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
Arrows: Yellow - testicular fracture Pink - one of the intra-testicular haematomas Green - testicular rupture with border irregularity Blue - haematocele Note also thickened scrotal wall
 
Arrows: Yellow - testicular incomplete fracture with borders separation Pink - the biggest intra-testicular haematoma Blue - haematocele
 
No evidence of vascularisation on the most anterior part of the testicle using Power Doppler.
 
A small area at the posterior part of the testicle was the only place we could find evidence of vascularisation, showing normal flux pattern.
 
Left testicle with normal size and homogeneus appearence. Preserved pattern of vascularisation. No extra testicle fluid collections. Moderate wall thickening.
 
 
 
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