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


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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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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