Abstract
The differentiation of the causes of acute scrotal pathology by clinical means alone is prone to inaccuracy, resulting in inappropriate surgical exploration. Colour Doppler imaging (CDI) provides the facility to assess blood flow. Torsion of the testis impedes blood flow, whereas it is enhanced or normal in inflammatory pathology. We have investigated 40 cases of acute scrotal disease by means of CDI in which the radiologist performing the test was unaware of the preliminary clinical diagnosis. The clinical diagnostic accuracy was 60%, whereas the diagnostic accuracy of CDI was 82%. CDI provides an effective means of enhancing diagnostic accuracy.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Krone KD, Carroll BA (1985) Scrotal ultrasound. Radiol Clin North Am 23: 121
Hutson JM, Beasley SW (1988) Inguinoscrotal lesions. In: Hutson JM, Beasley SW (eds) The surgical examination of children, 1st edn. Heinemann Medical Oxford, p. 35
Hricak H, Jeffrey RB (1983) Sonography of acute scrotal abnormalities. Radiol Clin North Am 21: 595
Middleton WD, Thorne DA, Nelson GL (1989) Colour doppler ultrasound of the normal testis. AJR 152: 293
Middleton WD, Nelson GL (1989) Testicular ischemia: colour doppler sonographic findings in five patients. AJR 152: 1237
Burks DD, Markey BJ, Burkhard TK, Balsara ZN, Haluszka MM, Canning DA (1990) Suspected testicular torsion and ischemia: evaluation with colour doppler sonography. Radiology 175: 815
Atkinson GO, Patrick LE, Ball TI, Stephenson CA, Broecker BH, Woodard JR (1992) The normal and abnormal scrotum in children: evaluation with colour doppler sonography. AJR 158: 613
Del Villar RG, Ireland GW, Cass AS (1972) Early exploration in acute testicular conditions. J Urol 108: 887
Cass AS, Cass BP, Veeraragharon K (1980) Immediate exploration of the unilateral acute scrotum in young male subjects. J Urol 124: 829
Ingram S, Hollman AS (1992) Colour doppler sonography in the normal paediatric testis. Proceedings of Eurodop '92, p 39
Hesser H, Rosenberg M, Nystrom A, Karpe B, Gierup J, Hedenborg L (1991) Torsion of the testicular appendages, readily described by ultrasonography. Proceedings of International Pediatric Radiology, Stockholm, p 80
Lupetin AR, King W, Rich PJ, Lederman RB (1983) The traumatised scrotum. Radiology 148: 203
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hollman, A.S., Ingram, S., Carachi, R. et al. Colour Doppler imaging of the acute paediatric scrotum. Pediatr Radiol 23, 83–87 (1993). https://doi.org/10.1007/BF02012390
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02012390