By Brigitte Martin, M. Donon, H. Hricak
Ultrasonography is a longtime process used as an sonographic findings are illustrated with prime quality adjunct to the actual exam within the overview pictures reflecting the author's long term event. of scrotal illnesses. This ebook presents the reader with The ebook is meant to be a whole consultant to a entire evaluate of testicular ailments and the sensible ultrasound purposes of testicular ailments of those illnesses on ultrasonography. visual appeal for the physicians in education, common radiologists, and Dr. Martin is among the top investigators who ultrasound experts. The contents combine the es early well-known the price and enthusiastically pursued sential medical features of a number of the ailments the potential of ultrasound for the prognosis of scrotal (symptoms, actual findings, epidemiology) with in illnesses. Her event has been accumulated over seve formation relating their analysis and remedy. ral years, so the richness and intensity of description of in line with large own adventure, the writer the panoply of scrotal ailments is certainly comprehen succeeds brilliantly in delivering a complete in sive. The special description of the strategy may still sight into the issues of testicular diseases.
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Extra resources for Atlas of Scrotal Ultrasound
3la, b. Subacute loose torsion of the spermatic cord. Ultrasound after eight hours. a Sagittal section of the superior pole. Cord abnormally visible due to enlargement, hypoechogenic (loose torsion), persistent Doppler arterial signal. b Sagittal section. Small epididymal head remains in place. Testis slightly tumefied, almost nonnal echo pattern. Conclusion: Loose torsion of a single tum. surgically proven Epididymal head Testis - + - - - - - - / a b Fig. 32a, b. Tight torsion of ~permatic cord in the subacute stage.
48. Subcapsular haematoma. Ultrasound on fifrh day due to persiste nt pain in the inferior pole of the testis. Sagittal section: discrete hypoechogenic subcapsular band with preservation of the ec hoge nic line of the tunica albuginea. Conservative treatment The acute scrotum 51 Haematoceles Testicular haematoma Contralateral testis Haematocele Fig. 49. Contusion of the epididymis and testis with haematocele. Ultrasound performed three weeks followin g violent trauma. Persistently enlarged and painful testis.
The ultrasound finding alone is non-specific , a pseudo tumour The acute scrotum 31 The spermatic cord Fig. 12. Epididymo-testicular inflammation; associated changes in the spermatic cord. Sagittal section through the cord and superior part of the testis; apparent increase in the echogenicity of the fibrous connective tissue in the cord, through which run numerous small dilated vasc ular structures indicating localised hyperaemia. Small encysted hydrocele Fig. 13. Acute inflammation of scrotal contents abnormalities of the spermatic cord.