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Ultrasound
Diagnosis
Vascular
Chest and Abdomen
Reproductive
Testicular Torsion/Infarct
Testicular Torsion/Infarct
Shweta Bhatt, MD
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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
Spermatic cord torsion
Definitions
Spontaneous or traumatic twisting of testis and spermatic cord within scrotum, resulting in vascular occlusion/infarction
IMAGING
General Features
Ultrasonographic Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Esposito F et al: The "whirlpool sign", a US finding in partial torsion of the spermatic cord: 4 cases. J Ultrasound. 17(4):313-5, 2014
Avery LL et al: Imaging of penile and scrotal emergencies. Radiographics. 33(3):721-40, 2013
Yusuf GT et al: A review of ultrasound imaging in scrotal emergencies. J Ultrasound. 16(4):171-8, 2013
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
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
Prando D: Torsion of the spermatic cord: the main gray-scale and doppler sonographic signs. Abdom Imaging. 34(5):648-61, 2009
Bhatt S et al: Role of US in testicular and scrotal trauma. Radiographics. 28(6):1617-29, 2008
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
Schalamon J et al: Management of acute scrotum in children--the impact of Doppler ultrasound. J Pediatr Surg. 41(8):1377-80, 2006
Vijayaraghavan SB: Sonographic differential diagnosis of acute scrotum: real-time whirlpool sign, a key sign of torsion. J Ultrasound Med. 25(5):563-74, 2006
Dogra V et al: Acute painful scrotum. Radiol Clin North Am. 42(2):349-63, 2004
Dogra VS et al: Torsion and beyond: new twists in spectral Doppler evaluation of the scrotum. J Ultrasound Med. 23(8):1077-85, 2004
Dogra VS et al: Sonography of the scrotum. Radiology. 227(1):18-36, 2003
Arce JD et al: Sonographic diagnosis of acute spermatic cord torsion. Rotation of the cord: a key to the diagnosis. Pediatr Radiol. 32(7):485-91, 2002
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
Spermatic cord torsion
Definitions
Spontaneous or traumatic twisting of testis and spermatic cord within scrotum, resulting in vascular occlusion/infarction
IMAGING
General Features
Ultrasonographic Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Esposito F et al: The "whirlpool sign", a US finding in partial torsion of the spermatic cord: 4 cases. J Ultrasound. 17(4):313-5, 2014
Avery LL et al: Imaging of penile and scrotal emergencies. Radiographics. 33(3):721-40, 2013
Yusuf GT et al: A review of ultrasound imaging in scrotal emergencies. J Ultrasound. 16(4):171-8, 2013
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
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
Prando D: Torsion of the spermatic cord: the main gray-scale and doppler sonographic signs. Abdom Imaging. 34(5):648-61, 2009
Bhatt S et al: Role of US in testicular and scrotal trauma. Radiographics. 28(6):1617-29, 2008
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
Schalamon J et al: Management of acute scrotum in children--the impact of Doppler ultrasound. J Pediatr Surg. 41(8):1377-80, 2006
Vijayaraghavan SB: Sonographic differential diagnosis of acute scrotum: real-time whirlpool sign, a key sign of torsion. J Ultrasound Med. 25(5):563-74, 2006
Dogra V et al: Acute painful scrotum. Radiol Clin North Am. 42(2):349-63, 2004
Dogra VS et al: Torsion and beyond: new twists in spectral Doppler evaluation of the scrotum. J Ultrasound Med. 23(8):1077-85, 2004
Dogra VS et al: Sonography of the scrotum. Radiology. 227(1):18-36, 2003
Arce JD et al: Sonographic diagnosis of acute spermatic cord torsion. Rotation of the cord: a key to the diagnosis. Pediatr Radiol. 32(7):485-91, 2002
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