ABSTRACT
OBJECTIVES: To review the current body of knowledge about performing, understanding, and interpreting Doppler ultrasonography in scrotal injury. MATERIAL AND METHODS: 17 patients with scrotal injury were studied. We describe the ultrasound technique and a wide spectrum of traumatic pathology together with its complications, analyzing the ultrasonographic signs and Doppler flow patterns that can orient the diagnosis and approach to treatment. RESULTS: The most common posttraumatic lesions were epididymo-orchitis and (26%) and scrotal hematomas (25%). The most frequent complications were testicular ischemia (3 cases) and abscess formation (2 cases). The surgical emergencies were torsion (8%) and testicular rupture (8%). CONCLUSIONS: Scrotal injuries can cause lesions that vary widely in severity, semiotics, and treatment. Doppler ultrasonography is an accurate tool in the hands of an experienced radiologist, enabling a clear, accurate diagnosis to be reached reasonably fast in pressing circumstances.
Subject(s)
Scrotum/diagnostic imaging , Scrotum/injuries , Ultrasonography, Doppler , Adolescent , Adult , Aged , Child , Child, Preschool , Humans , Male , Middle AgedABSTRACT
Objetivos. Ilustrar y revisar los conocimientos en la realización, comprensión e interpretación de la ecografía doppler del traumatismo escrotal. Material y métodos. Se estudian 17 pacientes con traumatismo escrotal. Se presenta la técnica ecográfica. Se estudia un amplio espectro de patología traumática y sus complicaciones, analizando semiología ecográfica y patrones de flujo doppler que pueden orientar el diagnóstico y la actitud terapéutica. Resultados. Las lesiones postraumáticas más frecuentes fueron las orquiepididimitis (26%) y los hematomas escrotales (25%). Las complicaciones más habituales fueron la isquemia testicular (3 casos) y la formación de abscesos (2 casos). Las urgencias quirúrgicas fueron la torsión (8%) y la rotura testicular (8%)Conclusiones. Los traumatismos escrotales pueden provocar lesiones muy variadas en cuanto a gravedad, semiología y tratamiento, constituyendo la ecografía doppler un arma de precisión para el radiólogo avezado en esta técnica, con la que puede obtener un diagnóstico claro, certero y razonablemente rápido envuelto a menudo en circunstancias apremiantes
Objectives. To review the current body of knowledge about performing, understanding, and interpreting Doppler ultrasonography in scrotal injury.Material and methods. 17 patients with scrotal injury were studied. We describe the ultrasound technique and a wide spectrum of traumatic pathology together with its complications, analyzing the ultrasonographic signs and Doppler flow patterns that can orient the diagnosis and approach to treatment.Results. The most common posttraumatic lesions were epididymoorchitis and (26%) and scrotal hematomas (25%). The most frequent complications were testicular ischemia (3 cases) and abscess formation (2 cases). The surgical emergencies were torsion (8%) and testicularrupture (8%).Conclusions. Scrotal injuries can cause lesions that vary widely in severity, semiotics, and treatment. Doppler ultrasonography is an accurate tool in the hands of an experienced radiologist, enabling a clear, accurate diagnosis to be reached reasonably fast in pressing circumstances
Subject(s)
Humans , Male , Child , Adolescent , Adult , Middle Aged , Aged , Scrotum , Scrotum/injuries , Ultrasonography, DopplerABSTRACT
Se presenta un caso de hernia de Spiegel que contiene un liposarcoma intraabdominal en una paciente de 49 años de edad. Se describen los síntomas clínicos, datos de la exploración física, exámenes complementarios y técnicas de diagnóstico por imagen. Se comentan los hallazgos quirúrgicos, el diagnóstico anatomopatológico y la evolución clínica
We present a case of Spigelian hernia containing an intraabdominal liposarcoma observed in a 49-year-old patient. We describe the clinical symptoms and the findings at physical examination, complementary tests, and diagnostic imaging. We comment on the surgical findings, histological diagnosis, and clinical evolution
Subject(s)
Female , Middle Aged , Humans , Liposarcoma/diagnosis , Abdominal Neoplasms/diagnosis , Soft Tissue Neoplasms/diagnosis , CA-125 Antigen/analysis , Diagnosis, Differential , Diagnostic Imaging/methodsABSTRACT
We present a case of Spigelian hernia containing an intraabdominal liposarcoma observed in a 49-year-old patient. We describe the clinical symptoms and the findings at physical examination, complementary tests, and diagnostic imaging. We comment on the surgical findings, histological diagnosis, and clinical evolution.
