Korean J Urol.  1995 Oct;36(10):1106-1110.

Value or Color Doppler Ultrasonography in Acute Scrotum

• Kim WS
• Noh CH

Abstract

Color doppler ultrasonography is a combination of real-time sonography and doppler sonography for imaging of arterial and venous blood vessels. There is an increased use of scrotal ultrasonography in the clinician's office and emergency room for the investigation of acute scrotum. From March 1992 to Apri1 1994, 61 patients with acute onset of scrotal pain were managed. Eleven of them were testicular torsion, 37 were inflammatory conditions, and one case was appendiceal torsion by color doppler ultrasonography. One of 11 patients with testis torsion was misdiagnosed by color doppler ultrasonography. This patient proved acute epididymitis by exploration. Among the 37 patients who were diagnosed inflammatory condition by color doppler ultrasonography two patients were testis torsion by scrotal exploration. Sensitivity of testicular torsion was 83% and specificity was 91% by color doppler ultrasonography. Color doppler ultrasonography readily demonstrates testicular blood flow and it is the most valuable diagnostic modality in evaluation of the acute scrotum.

Keyword

Color doppler ultrasonography; Acute scrotum; Testicular torsion

MeSH Terms

Blood Vessels
Emergency Service, Hospital
Epididymitis
Humans
Male
Scrotum*
Sensitivity and Specificity
Spermatic Cord Torsion
Testis
Ultrasonography
Ultrasonography, Doppler, Color*