HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Baldisserotto, M. Articles by Dora, M. D. Search for Related Content PubMed PubMed Citation Articles by Baldisserotto, M. Articles by Dora, M. D. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

Color Doppler Sonography of Normal and Torsed Testicular Appendages in Children

Hospital da Criança Conceição - Ministério da Saúde - Brazil, Eca de Queiroz, 384 Apt. 502, Porto Alegre, RS, Brazil, 90.670-020.

View larger version (166K): [in a new window]   Fig. 1A. —5-year-old boy with pain, erythema, and enlarged left hemiscrotum for 8 hr. Gray-scale sonogram obtained in longitudinal view shows hyperechoic nodule at upper pole of right testis (arrows). Nodule measured 12 x 8 x 8 mm and slightly compressed upper pole of testis (arrowheads). LT = left testis, H = hydrocele containing debris.

View larger version (129K): [in a new window]   Fig. 1B. —5-year-old boy with pain, erythema, and enlarged left hemiscrotum for 8 hr. Color Doppler sonogram obtained in longitudinal view shows no blood flow in hyperechoic nodule (arrows); enlarged, hyperemic left testis (LT); and left epididymis (LE).

View larger version (96K): [in a new window]   Fig. 1C. —5-year-old boy with pain, erythema, and enlarged left hemiscrotum for 8 hr. Photograph from surgery shows that avascular hyperechoic nodule corresponds to torsed left appendix testis (large arrows), which is enlarged and dark purple. Testis is normal (small arrows); epididymis is enlarged and slightly hyperemic (arrowheads). Histopathologic results showed appendix of testis with signs of infarction and necrosis.

View larger version (145K): [in a new window]   Fig. 2A. —6-year-old boy with pain, erythema, and enlarged right hemiscrotum for 12 hr. At palpation, tender nodule was found at upper pole of right testis. Sonogram reveals bilobulated hyperechoic structure (arrows) attached to upper pole of right testis and measuring 14 x 6 x 5 mm.

View larger version (93K): [in a new window]   Fig. 2B. —6-year-old boy with pain, erythema, and enlarged right hemiscrotum for 12 hr. At palpation, tender nodule was found at upper pole of right testis. Color Doppler sonogram obtained in transverse view shows no flow in hyperechoic structure (arrows) medial to epididymis; enlarged, hyperemic right testis (RT); and right epididymis (RE).

View larger version (95K): [in a new window]   Fig. 2C. —6-year-old boy with pain, erythema, and enlarged right hemiscrotum for 12 hr. At palpation, tender nodule was found at upper pole of right testis. Photograph from surgery shows that avascular bilobulated hyperechoic structure corresponds to large torsed appendix testis, which is reddish blue (large arrow). Testis is normal (small arrows), and epididymis (arrowheads) is enlarged and slightly hyperemic (RE). Histopathologic results showed appendix testis with signs of infarction and necrosis.

View larger version (70K): [in a new window]   Fig. 3A. —4-year-old boy with enlarged scrotum for 24 hr. Color Doppler sonogram obtained in longitudinal view reveals avascular hyperechoic nodule (arrows) at upper pole of right testis (RT) measuring 5 x 4 x 4 mm. Small hydrocele (H) is visualized.

View larger version (86K): [in a new window]   Fig. 3B. —4-year-old boy with enlarged scrotum for 24 hr. Photograph from surgery shows that structure corresponds to normal appendix testis (large arrow). Epididymis is enlarged and hyperemic (small arrows), and testis (arrowheads) is normal. Final diagnosis was epididymitis. Histopathologic results showed that excised appendix testis was normal.

View larger version (57K): [in a new window]   Fig. 4A. —4-year-old boy with pain, enlarged scrotum, and scrotal hyperemia for 12 hr. Color Doppler sonogram obtained in transverse view shows heterogeneous nodule (arrows) posterior to head of left epididymis (arrowheads) and medial to testis (LT). Epididymis is enlarged and hyperemic, and left testis is normal in comparison with right testis.

View larger version (43K): [in a new window]   Fig. 4B. —4-year-old boy with pain, enlarged scrotum, and scrotal hyperemia for 12 hr. Color Doppler sonogram obtained in longitudinal view reveals round, heterogeneous, avascular structure (arrows) posterior to head of left epididymis (LE).

View larger version (90K): [in a new window]   Fig. 4C. —4-year-old boy with pain, enlarged scrotum, and scrotal hyperemia for 12 hr. Photograph from surgery shows that heterogeneous avascular nodule corresponds to torsed appendix epididymidis (large arrow), which is reddish blue. Epididymis is slightly hyperemic (arrowhead); testis is normal (small arrow). Histopathologic results showed appendix epididymidis with signs of infarction and necrosis.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati