Document Detail


The acute scrotum in childhood and adolescence.
MedLine Citation:
PMID:  22787516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The acute scrotum in childhood or adolescence is a medical emergency. Inadequate evaluation and delays in diagnosis and treatment can result in irreversible harm, up to and including loss of a testis. Various diseases can produce this clinical picture. The testis is ischemic in only about 20% of cases.
METHODS: This review is based on a selective literature search, the existing clinical guideline, and the authors' experience.
RESULTS: The clinical approach to the acute scrotum must begin with a standardized, rapidly performed diagnostic evaluation. Dopper ultrasonography currently plays a central role. Its main use is to demonstrate the central arterial blood supply and venous drainage of the testis. The resistance index of the testicular vessels should also be determined.
CONCLUSION: Physical examination and properly performed Doppler ultrasonography enable adequate evaluation of the acute scrotum in childhood and adolescence. In the rare cases of diagnostic uncertainty, immediate surgical exposure of the testis remains the treatment of choice.
Authors:
Patrick Günther; Iris Rübben
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Publication Detail:
Type:  Journal Article; Review     Date:  2012-06-22
Journal Detail:
Title:  Deutsches Ärzteblatt international     Volume:  109     ISSN:  1866-0452     ISO Abbreviation:  Dtsch Arztebl Int     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-07-12     Completed Date:  2012-11-26     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101475967     Medline TA:  Dtsch Arztebl Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  449-57; quiz 458     Citation Subset:  IM    
Affiliation:
Sektion Kinderchirurgie, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany. patrick.guenther@med.uni-heidelberg.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Diagnosis, Differential
Epididymitis / etiology*,  prevention & control,  ultrasonography*
Humans
Infant, Newborn
Male
Scrotum / blood supply*,  ultrasonography*
Spermatic Cord Torsion / complications*,  diagnosis*,  prevention & control
Comments/Corrections
Comment In:
Dtsch Arztebl Int. 2013 Jan;110(3):41   [PMID:  23413383 ]
Dtsch Arztebl Int. 2013 Jan;110(3):41   [PMID:  23413384 ]
Dtsch Arztebl Int. 2013 Jan;110(3):42   [PMID:  23413385 ]

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