Scrotal Scintigraphy

  • George Taylor
  • S. T. Treves


The use of scrotal scintigraphy has dramatically improved our ability to evaluate children with acute testicular pain. Before the introduction of this technique in 1973 by Nadel et al.,25 the differentiation between testicular torsion and epididymitis was frequently impossible on purely clinical grounds.17 It often required scrotal exploration for definitive diagnosis.


Spermatic Cord Testicular Torsion Imperforate Anus Inferior Epigastric Artery Testicular Artery 
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  1. 1.
    Abu-Sleiman R, Ho JE, Gregory JG. Scrotal scan- 20. ping. Present value and limits of interpretation. Urology 1973; 13: 326–30.CrossRefGoogle Scholar
  2. 2.
    Amar AD, Kamla C. Epididymitis in prepubertal boys. Presenting manifestation of vesicoureteral reflux. JAMA 1969; 207: 2397–400.PubMedCrossRefGoogle Scholar
  3. 3.
    Behrman RE, Vaughan VC, eds. In: Nelson text- 22. book of pediatrics, 12th ed. Philadelphia: WB Saunders, 1983.Google Scholar
  4. 4.
    Boedecker RA, Glicklich M, Sty JR. Rim sign in 23. endodermal sinus tumor. Clin Nucl Med 1979; 4: 130–1.PubMedCrossRefGoogle Scholar
  5. 5.
    Boedecker RA, Sty JR, Jona FJ. Testicular scan- 24. ning as a diagnostic aid in evaluating scrotal pain. J Pediatr 1979; 94: 760–2PubMedCrossRefGoogle Scholar
  6. 6.
    Delasieuve L. Descente tardive dutesticle gauche, prise pour une hernie etranglee. Rev Med Fra Etrang 1840; 1: 363Google Scholar
  7. 7.
    DelVillar RG, Ireland GW, Cass A. Early exploration in acute testicular conditions. J Urol 1972; 27. 108: 887–8.Google Scholar
  8. 8.
    Doolittle KH, Smith JP, Saylor ML. Epididymitis in the prepubertal boy. J Urol 1966; 96: 364–6.PubMedGoogle Scholar
  9. 9.
    Dunn EKI, Macchia RJ, Solomon NA. Scinti- 28. graphic pattern in missed testicular torsion. Radiology 1981; 139: 175–80.PubMedGoogle Scholar
  10. 10.
    Dymus L, Mishkin F. Radionuclide imaging in epididymo-orchitis. J Urol 1974; 112: 387–9.Google Scholar
  11. 11.
    Falkowski WS, Finit CF. Testicular torsion: the role of radiosotope scanning. J Urol 1980; 124: 886–8.PubMedGoogle Scholar
  12. 12.
    Gierup J, von Hedenberg C, Osterman A. Acute nonspecific epididymitis in boys. Scand J Urol Nephrol 1975; 9: 5–7.PubMedCrossRefGoogle Scholar
  13. 13.
    Gislason T, Noronha R, Gregory J. Acute epididymitis in boys: a 5-year retrospective study. J Urol 1980; 124: 533–4.PubMedGoogle Scholar
  14. 14.
    Gray H. Anatomy of the human body. Goss CM, ed. Philadelphia: Lea, and Febiger, 1973.Google Scholar
  15. 15.
    Gray SW, Skandalakis J. The ovary and testis. In: Embryology for surgeons. The embryological basis for the treatment of congenital defects. Philadelphia: WB Saunders, 1972.Google Scholar
  16. 16.
    Haahr J, Sparrevbhn S. Epididymitis in children (abstract). Acta Paediat Scand 1970; 60: 248.Google Scholar
  17. Hahn LC, Nadel NS, Gitter MH, Vernon AR. Testicular scanning: a new modality for the preoperative diagnosis of testicular torsion. J Urol 1975; 113: 60–62.PubMedGoogle Scholar
  18. 18.
    Harrison JH, Nickel WR, Plumb RT, eds. Other infections and inflammations of the external genitalia. In: Cambells Urology, 4th ed. Philadelphia: WB Saunders, 1978.Google Scholar
  19. 19.
    Holder LE, Martire JR, Holmes ER. Testicular radionuclide angiography and static imaging: anatomy, scintigraphic interpretation and clinical indications. Radiology 1977; 125: 739–52.PubMedGoogle Scholar
  20. 20.
    Kaplan GW, King LR. Acute scrotal swelling in children. J Urol 1970; 104: 219–23.PubMedGoogle Scholar
  21. 21.
    Kogan SJ, Lutfker LG, Perez LA et al. The value of the negative radionuclide scrotal scan in the management of the acute inflamed scrotum in children. J Urol 1979; 122: 223–5.PubMedGoogle Scholar
  22. 22.
    Mishkin FS. Differential diagnostic features of the radionuclide scrotal image. Am J Roentgen 1977; 128: 127–9.CrossRefGoogle Scholar
  23. 23.
    Moharib NH, Krahn HP. Acute scrotum in children with emphasis on torsion of the spermatic cord. J Urol 1970; 104: 601–3.PubMedGoogle Scholar
  24. 24.
    Muschat M. The pathological anatomy of testicular torsion. Surg Gynecol Obstet 1932; 54: 758–63.Google Scholar
  25. 25.
    Nadel NS, Gitter MH, Hahn LC et al. Preoperative diagnosis of testicular torsion. Urology 1973; 1: 478–9.PubMedCrossRefGoogle Scholar
  26. 26.
    Parker RM, Robison JR. Anatomy and diagnosis of torsion of the testicle. J Urol 1971; 106: 243–7.PubMedGoogle Scholar
  27. 27.
    Riley TW, 27 Mosbaugh PG, Coles JL, Newman DM, Van Hove ED, Heck LL. Use of radioisotope scan in evaluation of intrascrotal lesions. J Urol 1976; 116: 472–5.PubMedGoogle Scholar
  28. 28.
    Skoglund RW, McRoberts JW, Ragde H. Torsion of testicular appendages: presentation of 43 new cases and a collective review. J Urol 1970; 104: 598–600.PubMedGoogle Scholar
  29. 29.
    Smith GI. Cellular changes from graded testicular ischemia. J Urol 1955; 73: 355–62.PubMedGoogle Scholar
  30. 30.
    Smith SP, King LR. Torsion of the testis. Techniques of assessment. Urol Clin North Am 1979; 6: 429–43.PubMedGoogle Scholar
  31. 31.
    Stage KH, Schoenvogel R, Lewis S. Testicular scanning: clinical experience with 72 patients. J Urol 1981; 125: 334–7.PubMedGoogle Scholar
  32. 32.
    Sty JR, Starshak RJ, Miller JH, eds. In: Pediatric nuclear medicine. Norwich: Appleton-CenturyCrofts, 1983.Google Scholar
  33. 33.
    Thomas WE, Williamson RC. Diagnosis and outcome of testicular torsion. Br J Surg 1983; 70: 2136.Google Scholar
  34. 34.
    Valvo JR, Caldamone AA, O’Mara R, Rabinowitz R. Nuclear imaging in the pediatric acute scrotum. Am J Dis Child 1982; 136: 831–5.PubMedGoogle Scholar
  35. 35.
    Vieras F, Kuhn CR. Nonspecificity of the “rim sign” in the scintigraphic diagnosis of missed testicular torsion. Radiology 1983; 146: 519–22.PubMedGoogle Scholar
  36. 36.
    Vordermark JS, Buck AS, Brown SR, Tuttle WK. The testicular scan. Use in diagnosis and management of acute epididymitis. JAMA 1981; 245: 2512–4.PubMedCrossRefGoogle Scholar
  37. 37.
    Wasnick RJ, Pobutsky KR, Macchia RJ. Testicular torsion and usefulness of radionuclide scanning. Urol 1980; 15: 318–320.PubMedCrossRefGoogle Scholar
  38. 38.
    Williams CB, Litvak AS, McRoberts JW. Epididymitis in infancy. J Urol 1979; 121: 125–6.PubMedGoogle Scholar
  39. 39.
    Williamson RC. Torsion of the testis and allied conditions. Br J Surg 1976; 63: 465–476.PubMedCrossRefGoogle Scholar
  40. 40.
    Wright JE. Torsion of the testis. Br J Surg 1977; 64: 274.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1985

Authors and Affiliations

  • George Taylor
  • S. T. Treves

There are no affiliations available

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