By Brigitte Martin, M. Donon, H. Hricak
Ultrasonography is a longtime process used as an sonographic findings are illustrated with top of the range adjunct to the actual exam within the evaluate pictures reflecting the author's long term adventure. of scrotal ailments. This e-book presents the reader with The publication is meant to be a whole consultant to a finished assessment of testicular ailments and the sensible ultrasound purposes of testicular illnesses of those illnesses on ultrasonography. visual appeal for the physicians in education, basic radiologists, and Dr. Martin is without doubt one of the major investigators who ultrasound experts. The contents combine the es early well-known the price and enthusiastically pursued sential scientific features of a few of the ailments the potential of ultrasound for the prognosis of scrotal (symptoms, actual findings, epidemiology) with in ailments. Her event has been collected over seve formation bearing on their analysis and remedy. ral years, so the richness and intensity of description of in line with huge own event, the writer the panoply of scrotal ailments is certainly comprehen succeeds brilliantly in delivering a accomplished in sive. The specified description of the method may still sight into the issues of testicular diseases.
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Additional resources for Atlas of Scrotal Ultrasound
In the absence of a varicocele, it corresponds to a nonnal branch of the testicular artery. A typical Doppler arterial signal can be obtained using pulsed Doppler The acute scrotum It is a group of conditions with similar clinical features : - Sudden onset of signs; - severe scrotal pain; - a rapid increase in the size of the scrotal sac; - the appearance of signs of local inflammation, concomitant or secondary. There are four major causes for this condition and it may be a difficult diagnostic problem to differentiate them.
Subacute torsion of spermatic cord. Differential diagnosis with scrotal trauma. Ultrasound performed on a foreign patient who was confused and unintelligible. Definite testicular pain with slight enlargement. Transverse section. Epididymal head is slightly less echogenic than the testis, itself virtually normal. By contrast, there is a large effusion between the two layers of the tunica vaginal is in two phases: a moderately echogenic sediment above which lies an echofree fluid phase. Appearances could suggest a post traumatic haematocele undergoing liquefaction but the presence of an enlarged cord indicates torsion.
Ultrasound on the third day since onset of scrotal pain in a twenty year old man. a High sagittal section. Normal testis. By contrast the cord is abnormally visible and hyperechoic. b Paramedian section: Visualisation of epididymal head in a normal position and not enlarged. Conclusion: No features to suggest inflammation, but signs suggesting a loose torsion having little effect on the epididymis or testis. -Jc Sediment ---1--+-... Fig. 37. Subacute torsion of spermatic cord. Differential diagnosis with scrotal trauma.
Atlas of Scrotal Ultrasound by Brigitte Martin, M. Donon, H. Hricak