Department of Diagnostic Radiolgy and Urology1, Yonsej University College of Medicine
ABSTRACT
PURPOSE : To evaluate the kinds of extratesticular diseases causing acute scrotal disorders by emergentsonography of the scrotum. MATERIAL & METHODS : Scrotal sonography in sixty-five patients, with age ranging from 5months to 82 years (mean : 27.3 years), with acute scrotal pain and swelling, was prospectively carried out byeither a 10 or 7.5 MHz transducer. We evaluated the size and echogenicity of the epididymis, the presence ofextratesticular solid mass or cyst, testicular involvement by extratesticular diseases, calcification, hydroceleand scrotal wall thickening. RESULTS : The most common cause of acute scrotal disorders was acute epididymitis (n= 50), followed by acute epididymo-orchitis (n = 4), mumps epididymo-orchitis (n = 2), enlarged epididymissecondary to testicular torsion (n = 2), infected hydrocele (n = 2), epididymal cyst (n = 2), rupture ofvaricocele (n = 1), angioneurotic edema (n = 1), and sperm granuloma (n = 1). Hydrocele was seen in 20 cases, andepididymal calcification was noted in 6 cases. CONCLUSION : Emergent scrotal sonography was useful for correctdiagnosis and proper treatment in patients with acute scrotal disorders, especially in the differentiation of theacute epididymitis from other intrascrotal diseases.
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