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Journal of Korean Society of Ultrasound in Medicine 1993 ; 12 (2) : p.189-193

(Color Doppler US in the acute scrotal disease)
Yoo Mi Cha, M.D., Dal Mo Yang, M.D., Sook Wook Kang, M.D., Hyung Sik Kim, M.D., Young Seok Lee, M.D., Hyeon Hoe Kim, M.D.
Department of Radiology and Urology1, Chung Ang Gil Hospital
To evaluate the utility of Color doopler US in the patients with acute scrotal pain, we retrospectivelyanalyzed 37 patients referred for Color Doppler US of the scrotum. The diagnosis was confirmed by means ofappropriate reponse to antibiotic treatment (31 cases) or surgery (6 cases). Thirty one of 37 patients werediagnosed as inflammatory disease (24 cases of epididymitis, 7 cases of epididymo-orchitis). Twenty three of 24cases of epididymitis had increased epididymal flow, while 6 of 7 cases of epididymo-orchitis had increasedepididymal and testicular flow. Five patients were confirmed as testicular torsion, and in all cases nointratesticular blood flow was identified on the symptomatic side. In one case of torsion of appendix testis,epididymis was enlarged and there were increased signals suggesting epididymitis on Color Doppler US, but wasconfirmed by surgery as torsion of appendix testis. Therefore, the differentiation between torsion andinflammatory disease was possible by using Color Doppler US of the scrotum in 34 of 37 cases in our study. On thebasis of our results, we may conclude that Color Doppler US can simultaneously display blood flow and detailedanatomic images, and function as an effective means of evaluating patients with acute scrotal disease.
Keyword : Scrotum,US
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