Abstract
In five newborn patients with spermatic cord torsion, sonography demonstrated an enlarged and globular testis, hydrocele, and skin thickening. In four of these patients the testicular parenchyma was heterogeneous. Peripheral hypoechoic areas were seen in two of the four patients; the other two had a central hypoechoic region and a peripheral echogenic rim. The testis in the fifth patient was diffusely hyperechoic. Duplex Doppler sonography performed in two patients failed to demonstrate any signal in the spermatic cord in either the abnormal or contralateral hemiscrotum. Scintigraphic findings were positive for testicular torsion in two patients and equivocal in three patients. Surgery was performed 2-12 days after sonography and established the diagnosis of spermatic cord torsion. Pathologic examination demonstrated hemorrhagic infarction of the entire testis as well as scattered calcifications. The authors conclude that a solid globular testicular mass seen during the neonatal period is suggestive of intrauterine spermatic cord torsion.
| Original language | English |
|---|---|
| Pages (from-to) | 755-757 |
| Number of pages | 3 |
| Journal | Radiology |
| Volume | 177 |
| Issue number | 3 |
| State | Published - Dec 1 1990 |
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Keywords
- Testis, torsion, 847.1439
- Ultrasound (US), in infants and children
ASJC Scopus subject areas
- Radiological and Ultrasound Technology
Cite this
Intrauterine spermatic cord torsion in the newborn : Sonographic and pathologic correlation. / Brown, Stephen M.; Casillas, Victor; Montalvo, Berta M.; Albores-Saavedra, Jorge.
In: Radiology, Vol. 177, No. 3, 01.12.1990, p. 755-757.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intrauterine spermatic cord torsion in the newborn
T2 - Sonographic and pathologic correlation
AU - Brown, Stephen M.
AU - Casillas, Victor
AU - Montalvo, Berta M.
AU - Albores-Saavedra, Jorge
PY - 1990/12/1
Y1 - 1990/12/1
N2 - In five newborn patients with spermatic cord torsion, sonography demonstrated an enlarged and globular testis, hydrocele, and skin thickening. In four of these patients the testicular parenchyma was heterogeneous. Peripheral hypoechoic areas were seen in two of the four patients; the other two had a central hypoechoic region and a peripheral echogenic rim. The testis in the fifth patient was diffusely hyperechoic. Duplex Doppler sonography performed in two patients failed to demonstrate any signal in the spermatic cord in either the abnormal or contralateral hemiscrotum. Scintigraphic findings were positive for testicular torsion in two patients and equivocal in three patients. Surgery was performed 2-12 days after sonography and established the diagnosis of spermatic cord torsion. Pathologic examination demonstrated hemorrhagic infarction of the entire testis as well as scattered calcifications. The authors conclude that a solid globular testicular mass seen during the neonatal period is suggestive of intrauterine spermatic cord torsion.
AB - In five newborn patients with spermatic cord torsion, sonography demonstrated an enlarged and globular testis, hydrocele, and skin thickening. In four of these patients the testicular parenchyma was heterogeneous. Peripheral hypoechoic areas were seen in two of the four patients; the other two had a central hypoechoic region and a peripheral echogenic rim. The testis in the fifth patient was diffusely hyperechoic. Duplex Doppler sonography performed in two patients failed to demonstrate any signal in the spermatic cord in either the abnormal or contralateral hemiscrotum. Scintigraphic findings were positive for testicular torsion in two patients and equivocal in three patients. Surgery was performed 2-12 days after sonography and established the diagnosis of spermatic cord torsion. Pathologic examination demonstrated hemorrhagic infarction of the entire testis as well as scattered calcifications. The authors conclude that a solid globular testicular mass seen during the neonatal period is suggestive of intrauterine spermatic cord torsion.
KW - Testis, torsion, 847.1439
KW - Ultrasound (US), in infants and children
UR - http://www.scopus.com/inward/record.url?scp=0025202136&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025202136&partnerID=8YFLogxK
M3 - Article
C2 - 2243983
AN - SCOPUS:0025202136
VL - 177
SP - 755
EP - 757
JO - Radiology
JF - Radiology
SN - 0033-8419
IS - 3
ER -