| Duplex sonographic findings in children with torsion of the testicular appendages: overlap with epididymitis and epididymoorchitis. | |
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MedLine Citation:
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PMID: 16516624 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Torsion of the testicular appendages (TTA) is the most common cause of acute scrotum in children, and yet there are only few dedicated studies of the imaging findings. OBJECTIVE: To review our experience with the use of duplex sonography in children with TTA and to evaluate if sonography can successfully distinguish TTA from epididymoorchitis. METHODS: We reviewed the medical files and imaging findings of 29 children aged 0.7 to 13.9 years (mean, 6.5 years) with a diagnosis of TTA based on testicular exploration who were evaluated preoperatively with duplex sonography. RESULTS: A tender upper pole nodule, the typical sign of TTA, was palpated in only 2 (6.9%) children. Duplex sonography demonstrated an extratesticular upper pole nodule in 9 (31%) children. Secondary inflammatory changes included hydrocele in 22 (75.9%), enlarged epididymis in 22 (75.9%), scrotal wall edema in 16 (55.2%), and swollen testis in 9 (31%) children. Fourteen (48%) children had inflammatory changes with no evidence of an extratesticular nodule. CONCLUSION: Duplex sonography findings of secondary inflammatory changes in the absence of evidence of an extratesticular nodule may suggest an erroneous diagnosis of epididymitis or epididymoorchitis in children with TTA. |
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Authors:
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Boaz Karmazyn; Ran Steinberg; Pinchas Livne; Liora Kornreich; Sylvia Grozovski; Michael Schwarz; Nitza Ziv; Enrique Freud |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 41 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2006 Mar |
Date Detail:
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Created Date: 2006-03-06 Completed Date: 2006-08-29 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 500-4 Citation Subset: IM |
Affiliation:
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Department of Imaging, Schneider Children's Medical Center of Israel, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 49202, Israel. bkarmazy@iupui.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adolescent Child Child, Preschool Diagnosis, Differential Diagnostic Errors Epididymitis / ultrasonography* Humans Infant Inflammation Male Pain / etiology Retrospective Studies Scrotum / pathology, ultrasonography Testicular Diseases / ultrasonography* Torsion Abnormality / ultrasonography Ultrasonography, Doppler, Duplex |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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