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European Radiology

, Volume 2, Issue 6, pp 532–535 | Cite as

Ultrasound evaluation of blunt scrotal trauma

  • W. Buchberger
  • J. Eberle
  • W. Kastlunger
  • T. Penz
Original Articles Genitourinary Radiology
  • 82 Downloads

Abstract

Eighty patients with blunt scrotal trauma underwent real-time sonography with high-frequency transducers. Sonography showed testicular rupture in 14 patients, testicular hematoma in 8 patients, lesions of the epididymis in 17 cases, and hematocele without an associated lesion of the testicle or the epididymis in 28 patients; 13 examinations were normal. The diagnosis was confirmed at operation in 18 cases and by clinical and sonographical follow-up in 62 cases. Sonography was able not only to distinguish reliably testicular rupture from uncomplicated testicular hematoma (accuracy rate 100%). Characteristic findings in testicular rupture included inhomogeneity of the parenchymal pattern, contour abnormalities, poorly defined margins, and obvious disruption of the echogenic tunica albuginea or fragmentation of the testicle.

Key words

Hematocele Scrotal ultrasound Scrotum, injuries Testicular hematoma Testicular rupture 

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References

  1. 1.
    Jeffrey RB, Laing FC, Hrizak H, McAninch JW (1983) Sonography of testicular trauma. AJR 141: 993Google Scholar
  2. 2.
    Albert NE (1980) Testicular ultrasound for trauma. J Urol 124: 558Google Scholar
  3. 3.
    Anderson KA, McAnninch JW, Jeffrey RB, Laing FC (1983) Ultrasonography for the diagnosis and staging of blunt scrotal trauma. J Urol 130: 933Google Scholar
  4. 4.
    Schaffer RM (1985) Ultrasonography of scrotal trauma. Urol Radiol 7: 245Google Scholar
  5. 5.
    Kratzik CH, Hainz A, Kuber W, Donner G, Lunglmayr G, Frick J, Schmoller HJ (1989) Has ultrasound influenced the therapy concept of blunt scrotal trauma? J Urol 142: 1243Google Scholar
  6. 6.
    Lupetin AR, King W, Rich PJ, Lederman RB (1983) The traumatized scrotum. Radiology 148: 203Google Scholar
  7. 7.
    Fournier GR, Laing FC, McAninch JW (1989) Scrotal ultrasound and the management of testicular trauma. Urol Clin North Am 16: 377Google Scholar
  8. 8.
    Preston TR (1970) Traumatic rupture of the testicle. Br J Surg 57: 71Google Scholar
  9. 9.
    Gross M (1969) Rupture of the testicle: the importance of early surgical treatment. J Urol 101: 196Google Scholar
  10. 10.
    Del Villar RG, Ireland GW, Cass AS (1973) Early exploration following trauma to the testicle. J Trauma 13: 600Google Scholar
  11. 11.
    Atwell JD, Ellis E (1961) Rupture of the testis. Br J Surg 49: 345Google Scholar
  12. 12.
    Friedman SG, Rose JG, Winston MA (1981) Ultrasound and nuclear medicine evaluation in acute testicular trauma. J Urol 125: 748Google Scholar
  13. 13.
    Egender G, Scheiber K, Stampfel G, Frommhold H (1985) Echographische Differentialdiagnostik des Skrotalinhaltes. Fortschr Röntgenstr 142: 304Google Scholar
  14. 14.
    Fournier GR, Laing FC, Jeffrex RB, McAninch JW (1985) High resolution scrotal ultrasonography: a highly sensitive but non-specific diagnostic technique. J Urol 134: 490Google Scholar
  15. 15.
    Hricak H, Jeffrey RB (1983) Sonography of acute scrotal abnormalities. Radiol Clin North Am 21: 595Google Scholar
  16. 16.
    McDermott JP, Gray BK, Stewart PAH (1988) Traumatic rupture of the testis. Br J Urol 62: 179Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • W. Buchberger
    • 1
  • J. Eberle
    • 2
  • W. Kastlunger
    • 1
  • T. Penz
    • 1
  1. 1.Departments of RadiologyUniversity of InnsbruckInnsbruckAustria
  2. 2.Departments of UrologyUniversity of InnsbruckInnsbruckAustria

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