scholarly journals Role of ultrasound and color Doppler in the evaluation of acute scrotal pain

2018 ◽  
Vol 50 (1-2) ◽  
pp. 26-30
Author(s):  
Gazi Salahuddin ◽  
SM Zulker Nayeem ◽  
Syed Mozammel Hossain ◽  
Sadika Parvin ◽  
Md Monoar Hossain
Keyword(s):  
Morphological Changes ◽  
Color Doppler ◽  
Definitive Diagnosis ◽  
Relative Importance ◽  
Colour Doppler ◽  
Gray Scale ◽  
Scrotal Pain ◽  
Doppler Study ◽  
Acute Scrotal Pain

Background: Traditionally acute scrotal pain is evaluated by gray scale ultrasound, which dissipated only the morphological changes of the lesion. But pattern of vascularity either normal, increased or absent of affected structure help to definitive diagnosis of the lesion and help to proceed the type of management either medical therapy or surgical treatment.Objectives: To determine the relative importance of color Doppler in the evaluation of acute scrotal pain by ultrasound.Methods: From June 2013 to June 2017 a total 150 patients with acute scrotal pain were selected. A thorough history taking and physical examination were done. Then patient were scanned with gray scale ultrasound followed by color Doppler study. Color Doppler diagnosis is compared with gray scale diagnosis.Results: In gray scale ultrasonography among the 150 cases, 54% were diagnosed as epididymitis, 16.66% were epididymo-orchitis and 16% patient diagnosed as normal. But in combined gray scale and colour Doppler study 58% were diagnosed as epididymitis, 22% were epididymo-orchitis and 6% of patient diagnosed as normal. In gray scale 10% patient were diagnosed as normal but become epididymitis and epididymo-orchitis in colour Doppler. Four percent were diagnosed as epididymitis in gay scale but became epididymo-orchitis in colour Doppler. Four percent patient was diagnosed as epididymitis orchitis but became testicular torsion in Doppler study. Total 14.66% of gray scale diagnosis became another diagnosis in the Doppler study.Conclusion: Combined gray scale and color Doppler study is superior than gray scale ultrasound in differentiating various cause of acute scrotal pain.Bang Med J (Khulna) 2017; 50 : 26-30

EVALUATION OF EPIDIDYMORCHITIS BY HIGH FREQUENCY GRAY SCALE AND COLOR DOPPLER ULTRASONOGRAPHY

2021 ◽  
pp. 54-56
Author(s):  
Akhil Sharma ◽  
Sameer R. Verma ◽  
Neeraj Prajapati ◽  
Vinod Kumar Mogha
Keyword(s):  
High Frequency ◽  
Doppler Ultrasonography ◽  
Low Cost ◽  
Color Doppler ◽  
Color Doppler Ultrasonography ◽  
The Body ◽  
Mri Imaging ◽  
Gray Scale ◽  
Doppler Study

INTRODUCTION: Ultrasonography is extremely well suited to study of scrotum and its contents. Ultrasound is simple to perform, quick, non-invasive, low cost effective, easily reproducible, widely available and does not involve irradiation of gonads.It is very helpful in differentiating intratesticular and extratesticular pathologies. Ultrasound is the modality to differentiate solid from cystic lesions of testes and with the introduction of color Doppler, it becomes easiear to assess the viability of testis in cases of torsion and guiding the treatment accordingly. USG is helpful in differentiating torsion/ischaemia of testis from the acute inammatory pathologies. Role of other Modalities: CT and MRI have dominated imaging of other regions of the body, they have certain restrictions in evaluation of scrotal diseases. Computed Tomography delivers radiation to gonads, On the contrary, MRI imaging is expensive and not readily obtainable. Radionuclide scan helps in equivocal presentations to assess vascularity within the testis in setting of torsion but its readily availability and cost is the main set back. AIM: To assess the role of high frequency gray scale and color doppler ultrasonography in evaluation of epididymorchitis. MATERIAL & METHODS: SAMPLE: 50 cases of scrotal pathology were taken using High-frequency real time gray scale ultrasonography and Color Doppler . Patients were referred to our department for scrotal ultrasonography and Doppler study by department of Urology and department of Surgery of SRMS IMS Bareilly. RESULTS: In the present study total evaluated cases of epididymoorchitis were 15,among them 11 cases were acute and 4 cases were of chronic epididymoorchitis.. Majority of cases were having unilateral involvement with 1 case of B/L involvement. USG gray scale found heterogenous echogenicity or reduced echogenicity in acute EPO while the echogenicity was reduced with calcication in chronic EPO. .Doppler study found increased vascularity in majority of cases of acute EPO with reactive hydrocele while vascularity was either normal or increased in chronic EPO without any reactive hydrocele. CONCLUSION: High-frequency gray scale USG helps in clear evaluation of anatomical structural alterations associated with acute scrotal inammatory diseases, and color Doppler USG is highly sensitive in diagnosing acute scrotal pathology. In addition, Color Doppler USG accurately differentiates between testicular ischemia and torsion from acute inammatory diseases in acute painful scrotal conditions.

scholarly journals Role of gray scale and color Doppler in differentiating benign from malignant ovarian masses

2010 ◽  
Vol 1 (1) ◽  
pp. 23 ◽  
Author(s):  
Dhwani Desai ◽  
VA Desai ◽  
RN Verma ◽  
A Shrivastava
Keyword(s):  
Color Doppler ◽  
Gray Scale ◽  
Ovarian Masses

Acute Testicular Torsion: Presentation and Diagnosis

2019 ◽  
Author(s):  
Claudia Berrondo ◽  
Robert A. Mevorach ◽  
Jimena Cubillos
Keyword(s):  
Testicular Torsion ◽  
Near Infrared ◽  
Color Doppler ◽  
Bimodal Distribution ◽  
Long Term Effects ◽  
Scrotal Pain ◽  
Unique Challenge ◽  
Acute Infarction ◽  
Hormonal Function ◽  
Acute Scrotal Pain

Testicular torsion is the most common pediatric urologic emergency and is a common cause of acute scrotal pain. Timely diagnosis is important for testicular salvage,as treatment delayed beyond 6 hours from the onset of symptoms is the most predictive factor of testicular death. There is a bimodal distribution of age with extravaginal torsion most commonly presenting in the neonatal period and intravaginal torsion most commonly presenting around the onset of puberty. Intermittent testicular torsion presents a unique challenge in making an accurate diagnosis, as patients most often present when asymptomatic. Several risk factors exist, although bell-clapper deformity is the most important. The diagnosis is made largely on history or physical examination. In equivocal cases, imaging with color Doppler ultrasonography may be helpful in making the diagnosis. Additional tools including near-infrared spectroscopy and Testicular Workup for Ischemia and Suspected Torsion score may be helpful in diagnosing testicular torsion. Possible long-term effects on fertility and hormonal function are also often a concern for the patient and clinician. This review contains 6 figures, 5 tables, and 34 references.  Keywords: acute, infarction, ischemia, orchidopexy, scrotum, spermatic cord, testis, torsion

scholarly journals Comparison of Gray Scale and Color Doppler Sonography with Cytopathology Findings in Cervical Lymphadenopathy in Tertiary Level Hospital

2019 ◽  
Vol 9 (2) ◽  
pp. 10-16
Author(s):  
Dosti Regmi ◽  
Benu Lohani ◽  
Prakash Kayastha ◽  
Shreya Shreevastav ◽  
Sharma Paudel ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Color Doppler ◽  
Cervical Lymphadenopathy ◽  
Peak Systolic Velocity ◽  
Resistive Index ◽  
Cervical Region ◽  
Vascular Pattern ◽  
Gray Scale ◽  
Predictive Values ◽  
Doppler Study

Introduction: Cervical region is the commonest area of lymphadenopathy which is easily accessible to ultrasound and Doppler study. The morphological and vascular-architectural differences among various nodal diseases aids in differentiating benign from malignant causes. Methods: The study was done on the 108 patients referred to Department of Radiology andImaging, TUTH for ultrasound of cervical lymphadenopathy who subsequently underwentFNAC examination. Gray scale evaluation for morphology of the nodes along with Doppler evaluation for resistive index (RI), pulsatility index (PI) and Peak systolic velocity (PSV) were done and correlated with FNAC findings. Results: Among the 108 lymph nodes, 24 were proven to be malignant on FNAC. Features such as S/L ratio >0.5, absence of echogenic hilum, and abnormal vascular pattern demonstrated sensitivities of 96%, 92%, and 87%, specificities of 74%, 65% and 77% and positive predictive values (PPVs) of 51%, 43%, and 55% respectively. The cutoff values for RI, PI and PSV were found to be 0.705, 1.34 and 17.5 cm/s with sensitivities of 96%, 96% and 87%, specificities of 95%, 99% and 88% and positive predictive values (PPVs) of 85%, 95% and 70% respectively. Conclusion: Ultrasound findings of S/L ratio, absence of echogenic hilum, abnormal vascular pattern and Doppler indices revealed good sensitivity, specificity, and accuracy in differentiating benign and malignant lymph nodes.

Color Doppler sonography and scintigraphy of the testis: A prospective, comparative analysis in children with acute scrotal pain

2002 ◽  
Vol 18 (2) ◽  
pp. 67-71 ◽  
Author(s):  
ANNA R. NUSSBAUM BLASK ◽  
DOROTHY BULAS ◽  
EGLAL SHALABY-RANA ◽  
GIL RUSHTON ◽  
CHENG SHAO ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Doppler Sonography ◽  
Color Doppler ◽  
Color Doppler Sonography ◽  
Scrotal Pain ◽  
Acute Scrotal Pain

scholarly journals Ultrasonographic findings of epididymal torsion in adults - a rare cause of acute scrotum

2021 ◽  
Vol 74 (1-2) ◽  
pp. 38-40
Author(s):  
Daniela Donat ◽  
Slobodan Torbica ◽  
Sandra Trivunic-Dajko ◽  
Viktor Till
Keyword(s):  
Differential Diagnosis ◽  
Ultrasound Examination ◽  
Color Doppler ◽  
The Body ◽  
Acute Scrotum ◽  
Heterogeneous Structure ◽  
Scrotal Pain ◽  
Acute Scrotal Pain ◽  
Whirlpool Sign ◽  
Head Area

Introduction. Epididymal torsion is a rare cause of acute scrotum. Only a few cases have been described in the literature, and preoperative ultrasound diagnosis was done only in two cases. So far, according to our data, cases of epididymal torsion in adults have not previously been reported in the literature. Case Report. We report the case of a 39-year-old man, who was admitted to the hospital for pain in the left hemiscrotum lasting for three days. The physical examination revealed a swelling limited to the left hemiscrotum, so the patient was referred for an ultrasound examination with the diagnosis of epididymitis. The ultrasonography showed that the left epididymis was significantly enlarged in the head area with and heterogeneous structure of the parenchyma on a grayscale, without a significant Color Doppler signal. At the level of the neck and the body of the epididymis, there was a ?whirlpool sign? with a reactive hydrocele and edema of the left scrotum soft tissue that was highly suspicious for torsion of the epididymis. The patient underwent emergency surgery and epididymal torsion of about 540 degrees was confirmed intraoperatively. Conclusion. The torsion of the epididymis should be kept in mind in the differential diagnosis of acute scrotal pain in adults.

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