Demographics:
5 days old, Male
Indication:
Scrotal swelling (born at 40 weeks)
Findings
- Atrophic, partially calcified right testicle, located within the right hemiscrotum
- Minimal blood flow is demonstrated in the right testicle and right epididymis
- Mildly enlarged left testicle with no detectable flow to the left testicle or left epididymis on power Doppler analysis
- Flow is detected to the distal aspect of the left spermatic cord
- Large left hydrocele without internal complexity
Diagnosis
Extravaginal testicular torsion
Sample Report
Mildly enlarged left testicle with no detectable flow to the left testicle or left epididymis on power Doppler analysis. Flow is detected to the distal aspect of the left spermatic cord. These findings raise concern for left extravaginal testicular torsion. Recommend urgent surgical evaluation.
Large left hydrocele without internal complexity.
Atrophic, partially calcified right testicle with minimal blood flow to the right testicle and right epididymis, likely the result of in utero testicular torsion/infarction.
Discussion
References