Slijper Nadav, Sukhotnik Igor, Toubi Aurora, Mogilner Jorge
Departments of Pediatric Surgery, Bnai Zion Medical Center, Haifa, Israel.
Isr Med Assoc J. 2007 Feb;9(2):99-101.
Testicular torsion associated with undescended testis is uncommon but requires immediate treatment. Ultrasound Doppler is recognized as the preferred imaging modality for testicular torsion due to its high specificity, sensitivity and availability.
To determine the accuracy of ultrasound Doppler in diagnosis of torsion of undescended testis.
We describe three patients with known undescended testis who were admitted with groin pain and had preoperative ultrasound Doppler. The discrepancy between these and the intraoperative findings is discussed.
In two patients incarcerated inguinal hernia was diagnosed with ultrasound Doppler; however, surgery revealed torsion of an undescended testis. In the third patient ultrasound Doppler diagnosed torsion of undescended testis, but at surgery incarcerated inguinal hernia was found, without evidence of testicular torsion.
Torsion of undescended testis should be a clinical rather than radiologic diagnosis.
与隐睾相关的睾丸扭转并不常见，但需要立即治疗。超声多普勒因其高特异性、敏感性和可及性，被认为是诊断睾丸扭转的首选影像学检查方法。
确定超声多普勒诊断隐睾扭转的准确性。
我们描述了3例已知隐睾的患者，他们因腹股沟疼痛入院，并在术前进行了超声多普勒检查。讨论了这些检查结果与术中发现之间的差异。
在2例患者中，超声多普勒诊断为嵌顿性腹股沟疝；然而，手术发现为隐睾扭转。在第3例患者中，超声多普勒诊断为隐睾扭转，但手术时发现为嵌顿性腹股沟疝，未发现睾丸扭转迹象。
隐睾扭转应通过临床诊断而非影像学诊断。
