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Testicular Torsion in Neonates and Infants: Sonographic Features in 30 Patients

Jeffrey Traubici1, Alan Daneman1, Oscar Navarro1, Arun Mohanta1 and Cristian Garcia2

1 Department of Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, 555 University Ave., Toronto, Ontario M5G 1X8, Canada.
2 Departamento de Medicina, Pontificia Universidad Catolica de Chile, Marcoleta 347, Santiago, Chile.



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Fig. 1A. 1-day-old neonate presenting with swollen testicle. Gray-scale sonogram shows heterogeneous testicle (arrows) with subtunica fluid and hydrocele containing debris.

 


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Fig. 1B. 1-day-old neonate presenting with swollen testicle. Gray-scale sonogram shows linear hypoechoic striations (arrows) parallel to one another.

 


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Fig. 1C. 1-day-old neonate presenting with swollen testicle. Follow-up gray-scale sonogram obtained 2 months after B shows small testicle (arrows) with peripheral hyperechoic foci (arrowheads).

 


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Fig. 2A. 4-month-old infant with scrotal swelling who was approximately 4 months premature and therefore near term-corrected age. Gray-scale sonogram shows small testicle with curvilinear area of increased echogenicity in periphery (arrows).

 


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Fig. 2B. 4-month-old infant with scrotal swelling who was approximately 4 months premature and therefore near term-corrected age. Gray-scale sonogram of testicle obtained in another plane shows more scattered areas of increased echogenicity in periphery (arrow and cursors).

 

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