Background and Purpose:Torsion of the testicular appendages(TTA)is the most common cause of acute scrotum in children,and yet there are only few dedicated studies of the imaging findings.Objective:To review our experi...Background and Purpose:Torsion of the testicular appendages(TTA)is the most common cause of acute scrotum in children,and yet there are only few dedicated studies of the imaging findings.Objective:To review our experience with the u se of duplex sonography in children with TTA and to evaluate if sonography can s uccessfully distinguish TTA from epididymoorchitis.Methods:We reviewed the med ical files and imaging findings of 29 children aged 0.7 to 13.9 years(mean,6.5 years)with a diagnosis of TTA based on testicular exploration who were evaluat ed preoperatively with duplex sonography.Results:A tender upper pole nodule,t he typical sign of TTA,was palpated in only 2(6.9%)children.Duplex sonograp hy demonstrated an extratesticular upper pole nodule in 9(31%)children.Secon dary inflammatory changes included hydrocele in 22(75.9%),enlarged epididymis in 22(75.9%),scrotalwall edema in 16(55.2%),and swollen testis in 9(31%)-children.Fourteen(48%)children had inflammatory changes with no evidence of an extratesticular nodule.Conclusion:Duplex sonographyfindings of secondary inflammatory changes in the absence of evidence of an extratesticular nodule ma y suggest an erroneous diagnosis of epididymitis or epididymoorchitis in childre n with TTA.展开更多
文摘Background and Purpose:Torsion of the testicular appendages(TTA)is the most common cause of acute scrotum in children,and yet there are only few dedicated studies of the imaging findings.Objective:To review our experience with the u se of duplex sonography in children with TTA and to evaluate if sonography can s uccessfully distinguish TTA from epididymoorchitis.Methods:We reviewed the med ical files and imaging findings of 29 children aged 0.7 to 13.9 years(mean,6.5 years)with a diagnosis of TTA based on testicular exploration who were evaluat ed preoperatively with duplex sonography.Results:A tender upper pole nodule,t he typical sign of TTA,was palpated in only 2(6.9%)children.Duplex sonograp hy demonstrated an extratesticular upper pole nodule in 9(31%)children.Secon dary inflammatory changes included hydrocele in 22(75.9%),enlarged epididymis in 22(75.9%),scrotalwall edema in 16(55.2%),and swollen testis in 9(31%)-children.Fourteen(48%)children had inflammatory changes with no evidence of an extratesticular nodule.Conclusion:Duplex sonographyfindings of secondary inflammatory changes in the absence of evidence of an extratesticular nodule ma y suggest an erroneous diagnosis of epididymitis or epididymoorchitis in childre n with TTA.
