D'Andrea Alfredo, Coppolino Francesco, Cesarano Elviro, Russo Anna, Cappabianca Salvatore, Genovese Eugenio Annibale, Fonio Paolo, Macarini Luca
S G, Moscati Hospital, Department of Radiology, Aversa, Italy.
Crit Ultrasound J. 2013 Jul 15;5 Suppl 1(Suppl 1):S8. doi: 10.1186/2036-7902-5-S1-S8.
The acute scrotum is a medical emergency . The acute scrotum is defined as scrotal pain, swelling, and redness of acute onset. Scrotal abnormalities can be divided into three groups , which are extra-testicular lesion, intra-testicular lesion and trauma. This is a retrospective analysis of 164 ultrasound examination performed in patient arriving in the emergency room for scrotal pain.The objective of this article is to familiarize the reader with the US features of the most common and some of the least common scrotal lesions.
Between January 2008 and January 2010, 164 patients aged few month and older with scrotal symptoms, who underwent scrotal ultrasonography (US), were retrospectively reviewed. The clinical presentation, outcome, and US results were analyzed. The presentation symptoms including scrotal pain, painless scrotal mass or swelling, and trauma.
Of 164 patients, 125 (76%) presented with scrotal pain, 31 (19%) had painless scrotal mass or swelling and 8 (5%) had trauma. Of the 125 patients with scrotal pain, 72 had infection,10 had testicular torsion, 8 had testicular trauma, 18 had varicocele, 20 had hydrocele, 5 had cryptorchidism, 5 had scrotal sac and groin metastases, and 2 had unremarkable results. In the 8 patients who had history of scrotal trauma, US detected testicular rupture in 1 patients, scrotal haematomas in 2 patients .Of the 19 patients who presented with painless scrotal mass or swelling, 1 6 had extra-testicular lesions and 3 had intra-testicular lesions. All the extra-testicular lesions were benign. Of the 3 intra-testicular lesions, one was due to tuberculosis epididymo-orchitis, one was non-Hodgkin's lymphoma, and one was metastasis from liposarcoma
US provides excellent anatomic detail; when color Doppler and Power Doppler imaging are added, testicular perfusion can be assessed.
急性阴囊是一种医疗急症。急性阴囊定义为急性发作的阴囊疼痛、肿胀和发红。阴囊异常可分为三组，即睾丸外病变、睾丸内病变和创伤。本文是对164例因阴囊疼痛到急诊室就诊患者进行的超声检查的回顾性分析。本文的目的是让读者熟悉最常见和一些最不常见阴囊病变的超声特征。
回顾性分析2008年1月至2010年1月期间164例有阴囊症状、年龄在数月及以上且接受了阴囊超声检查（US）的患者。分析临床表现、结果和超声检查结果。表现症状包括阴囊疼痛、无痛性阴囊肿块或肿胀以及创伤。
164例患者中，125例（76%）表现为阴囊疼痛，31例（19%）有无痛性阴囊肿块或肿胀，8例（5%）有创伤。在125例阴囊疼痛患者中，72例有感染，10例有睾丸扭转，8例有睾丸创伤，18例有精索静脉曲张，20例有鞘膜积液，5例有隐睾，5例有阴囊和腹股沟转移，2例结果无异常。在8例有阴囊创伤史的患者中，超声检查发现1例睾丸破裂，2例阴囊血肿。在19例表现为无痛性阴囊肿块或肿胀的患者中，16例有睾丸外病变，3例有睾丸内病变。所有睾丸外病变均为良性。在3例睾丸内病变中，1例为结核性附睾炎，1例为非霍奇金淋巴瘤，1例为脂肪肉瘤转移。
超声提供了出色的解剖细节；当增加彩色多普勒和能量多普勒成像时，可以评估睾丸灌注。
