Journal of Korean Society of Medical Ultrasound 1996;15(2): 243-249.
Ultrasonographic Findings of Extratesticular Diseases Causing Acute Scrotal Disorders
Jae Joon Chung, Tack Lee, So Yong Chang, Myeong Jin Kim, Hyung Sik Yoo, Jong Tae Lee
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.
Keywords: Scrotum. abnormalities, Scrotum. diseases, Scrotum. US, Epididymitis, Epididymo-orchitis
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