Testicular Torsion || Doppler || Ultrasound || Case 282

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Testicular Torsion || Doppler || Ultrasound || Case 282
Clinical Features:
27 years old male patient came with
- Severe left hemiscrotal pain for around 10 days
- Scrotal swelling
Ultrasound Features:
- Swollen left testis with inhomogeneously hypoechoic parenchymal echotexture.
- There are multiple irregular heterogeneous areas within the left testicular parenchyma.
- Color Doppler shows high impedance flow within the heterogeneous areas but no detectable flow within the rest of the parenchyma & prominent peritesticular flow.
- A lamellated mass with concentric layering just cephalad to the left testis representing the coiled spermatic cord components forming the ‘whirlpool sign’ with twisting or whirling on color Doppler.
- Left-sided mild reactive hydrocele.
- Thickening of the left hemiscrotal skin.
- Normal right testis & epididymis.
Remember:
- In case of incomplete testicular torsion, color Doppler may show vascularity within the testis.
- An increase in arterial RI of more than 0.75 & absence of intratesticular venous flow may help confirm testicular torsion.
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Check our another case video on
'Testicular Hematoma & Microlithiasis':
ua-cam.com/video/DPLRA1eS2J8/v-deo.html

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[@eurastio]

how can necrose areas haave flow ?

[@ImagingStudy]

Flow is towards the inflammatory zone surrounding the necrotic tissues.

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I will try. I don't do echocardiography in my usual practice.

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