Abstract
Although sonography has become an established modality in the evaluation of acute and chronic scrotal abnormalities, its role in the post-herniorrhaphy patient with scrotal swelling has not yet been defined. We present 5 patients with immediate and delayed complications of herniorrhaphy in which sonography provided useful clinical information. Immediate complications included scrotal hematomas, scrotal wall and septal thickening, epididymitis, and testicular displacement. Delayed complications included an infected hydrocele demonstrating a fluid-debris level. The etiology of scrotal swelling in postherniorrhaphy patients can be determined with sonography.
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Rydell W, Hanover WH: Inguinal and femoral hernias.Arch Surg 87:150–157, 1963
Hricak H, Hoddick WK: Scrotal ultrasound. In Hricak H (ed):Genitourinary Ultrasound. New York: Churchill-Livingstone, 1986, pp 219–240
Krone K, Carroll B: Scrotal ultrasound.Radiol Clin N Am 23:121–139, 1985
Hricak H, Jeffrey RB: Sonography of acute scrotal abnormalities.Radiol Clin N Am 21:595–603, 1983
Hricak H, Filly RA: Sonography of the scrotum.Invest Radiol 18:112–121, 1983
Pollack R, Nyhus LM: Complications of groin hernia repair.Surg Clin N Am 63:1363–1371, 1983
Cunningham J: Sonographic findings in clinically unsuspected acute and chronic scrotal hematocele.AJR 140:749–752, 1983
Wantz GE: Complication of inguinal hernia repair.Surg Clin N Am 64:287–298, 1984
Pintauro W, Klein F, Vick CW, Brocker B: The use of ultrasound for evaluating subacute unilateral scrotal swelling.J Urol 133:779–802, 1985
Vick CW, Bird K, Rosenfield A, Klein F, Schneider V, Walsh J, Brewer W: Extratesticular hemorrhage associated with torsion of the spermatic cord: sonographic demonstration.Radiology 158:401–404, 1986
Holder L, Melloul M, Chen DCP: Current status of radionuclide scrotal imaging.Sem Nucl Med 11:232–249, 1981
Chen DCP, Holder L, Melloul M: Radionuclide scrotal imaging. Part I: anatomy, pathophysiology, and methods.J Nucl Med 24:735–742, 1983
Chen DCP, Holder L, Melloul M: Radionuclide scrotal imaging. Part II: results and discussion.J Nucl Med 24:841–853, 1983
Taylor KJW, Burns PN, Woodcock JP, Wells PNT: Blood flow in deep abdominal and pelvic vessels: ultrasonic pulsed Doppler analysis.Radiology 154:487–493, 1985
Wetzner SM, Kiser LC, Bezrek JS: Duplex ultrasound imaging: Vascular application.Radiology 150:507–514, 1984
O’Leary OH: Vascular ultrasonographyRadiol Clin N Am 23(1):35–56, 1985
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Archer, A., Choyke, P.L., O’Brien, W. et al. Scrotal enlargement following inguinal herniorrhaphy: Ultrasound evaluation. Urol Radiol 9, 249–252 (1988). https://doi.org/10.1007/BF02932679
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DOI: https://doi.org/10.1007/BF02932679