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Scrotal Trauma
Mitchell Tublin, MD; Shweta Bhatt, MD
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Synonyms

          • Testicular rupture, fracture of testis, hematocele
        • Definitions

          • Rupture of tunica albuginea, extrusion of testicular tissue into scrotal sac, collection of blood in tunica vaginalis or scrotal wall

        IMAGING

        • General Features

          • Ultrasonographic Findings

            • Imaging Recommendations

              DIFFERENTIAL DIAGNOSIS

                PATHOLOGY

                • General Features

                  • Staging, Grading, & Classification

                    CLINICAL ISSUES

                    • Presentation

                      • Natural History & Prognosis

                        • Treatment

                          DIAGNOSTIC CHECKLIST

                          • Image Interpretation Pearls

                            Selected References

                            1. Avery LL et al: Imaging of penile and scrotal emergencies. Radiographics. 33(3):721-40, 2013
                            2. D'Andrea A et al: US in the assessment of acute scrotum. Crit Ultrasound J. 5 Suppl 1:S8, 2013
                            3. Delaney LR et al: Ultrasound of the pediatric scrotum. Semin Ultrasound CT MR. 34(3):248-56, 2013
                            4. Sung EK et al: Sonography of the pediatric scrotum: emphasis on the Ts--torsion, trauma, and tumors. AJR Am J Roentgenol. 198(5):996-1003, 2012
                            5. Lobianco R et al: Contrast-enhanced sonography in blunt scrotal trauma(). J Ultrasound. 14(4):188-95, 2011
                            6. Yagil Y et al: Role of Doppler ultrasonography in the triage of acute scrotum in the emergency department. J Ultrasound Med. 29(1):11-21, 2010
                            7. Bhatt S et al: Role of US in testicular and scrotal trauma. Radiographics. 28(6):1617-29, 2008
                            8. Deurdulian C et al: US of acute scrotal trauma: optimal technique, imaging findings, and management. Radiographics. 27(2):357-69, 2007
                            9. Kim SH et al: Significant predictors for determination of testicular rupture on sonography: a prospective study. J Ultrasound Med. 26(12):1649-55, 2007
                            10. Buckley JC et al: Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol. 175(1):175-8, 2006
                            11. Pepe P et al: Does color Doppler sonography improve the clinical assessment of patients with acute scrotum? Eur J Radiol. 60(1):120-4, 2006
                            12. Micallef M et al: Ultrasound features of blunt testicular injury. Injury. 32(1):23-6, 2001
                            Related Anatomy
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                            Related Differential Diagnoses
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                            References
                            Tables

                            Tables

                            KEY FACTS

                            • Imaging

                              • Pathology

                                • Clinical Issues

                                  TERMINOLOGY

                                  • Synonyms

                                    • Testicular rupture, fracture of testis, hematocele
                                  • Definitions

                                    • Rupture of tunica albuginea, extrusion of testicular tissue into scrotal sac, collection of blood in tunica vaginalis or scrotal wall

                                  IMAGING

                                  • General Features

                                    • Ultrasonographic Findings

                                      • Imaging Recommendations

                                        DIFFERENTIAL DIAGNOSIS

                                          PATHOLOGY

                                          • General Features

                                            • Staging, Grading, & Classification

                                              CLINICAL ISSUES

                                              • Presentation

                                                • Natural History & Prognosis

                                                  • Treatment

                                                    DIAGNOSTIC CHECKLIST

                                                    • Image Interpretation Pearls

                                                      Selected References

                                                      1. Avery LL et al: Imaging of penile and scrotal emergencies. Radiographics. 33(3):721-40, 2013
                                                      2. D'Andrea A et al: US in the assessment of acute scrotum. Crit Ultrasound J. 5 Suppl 1:S8, 2013
                                                      3. Delaney LR et al: Ultrasound of the pediatric scrotum. Semin Ultrasound CT MR. 34(3):248-56, 2013
                                                      4. Sung EK et al: Sonography of the pediatric scrotum: emphasis on the Ts--torsion, trauma, and tumors. AJR Am J Roentgenol. 198(5):996-1003, 2012
                                                      5. Lobianco R et al: Contrast-enhanced sonography in blunt scrotal trauma(). J Ultrasound. 14(4):188-95, 2011
                                                      6. Yagil Y et al: Role of Doppler ultrasonography in the triage of acute scrotum in the emergency department. J Ultrasound Med. 29(1):11-21, 2010
                                                      7. Bhatt S et al: Role of US in testicular and scrotal trauma. Radiographics. 28(6):1617-29, 2008
                                                      8. Deurdulian C et al: US of acute scrotal trauma: optimal technique, imaging findings, and management. Radiographics. 27(2):357-69, 2007
                                                      9. Kim SH et al: Significant predictors for determination of testicular rupture on sonography: a prospective study. J Ultrasound Med. 26(12):1649-55, 2007
                                                      10. Buckley JC et al: Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol. 175(1):175-8, 2006
                                                      11. Pepe P et al: Does color Doppler sonography improve the clinical assessment of patients with acute scrotum? Eur J Radiol. 60(1):120-4, 2006
                                                      12. Micallef M et al: Ultrasound features of blunt testicular injury. Injury. 32(1):23-6, 2001