eMedicine Specialties > Radiology > Genitourinary

Testicular Torsion: Multimedia

Author: , Vice Chair, Vice Chair, Department of Radiology, The University of Chicago
Contributor Information and Disclosures

Updated: Mar 10, 2008

Multimedia

Normal testis. Transverse color Doppler image dem...Media file 1: Normal testis. Transverse color Doppler image demonstrates uniform echogenicity and flow throughout the testicle
Normal testis. Transverse color Doppler image dem...

Normal testis. Transverse color Doppler image demonstrates uniform echogenicity and flow throughout the testicle

Normal testes. Transverse color Doppler images of...Media file 2: Normal testes. Transverse color Doppler images of both testes demonstrate symmetric echogenicity and flow.
Normal testes. Transverse color Doppler images of...

Normal testes. Transverse color Doppler images of both testes demonstrate symmetric echogenicity and flow.

Normal testis and epididymis. Longitudinal color ...Media file 3: Normal testis and epididymis. Longitudinal color Doppler image shows diffuse, normal flow to the testis and epididymis.
Normal testis and epididymis. Longitudinal color ...

Normal testis and epididymis. Longitudinal color Doppler image shows diffuse, normal flow to the testis and epididymis.

Testicular torsion. Longitudinal color Doppler im...Media file 4: Testicular torsion. Longitudinal color Doppler image demonstrates no flow to the testicle and enlargement of the epididymis and spermatic cord, which are avascular as well.
Testicular torsion. Longitudinal color Doppler im...

Testicular torsion. Longitudinal color Doppler image demonstrates no flow to the testicle and enlargement of the epididymis and spermatic cord, which are avascular as well.

Testicular torsion. Longitudinal color Doppler im...Media file 5: Testicular torsion. Longitudinal color Doppler image of the left testicle without evident flow.
Testicular torsion. Longitudinal color Doppler im...

Testicular torsion. Longitudinal color Doppler image of the left testicle without evident flow.

Testicular torsion. Transverse color Doppler imag...Media file 6: Testicular torsion. Transverse color Doppler image of both testes demonstrates enlargement, slightly decreased echogenicity, and absent flow on the left side.
Testicular torsion. Transverse color Doppler imag...

Testicular torsion. Transverse color Doppler image of both testes demonstrates enlargement, slightly decreased echogenicity, and absent flow on the left side.

Transverse power Doppler image of both testes aga...Media file 7: Transverse power Doppler image of both testes again illustrates an enlarged, avascular left testicle.
Transverse power Doppler image of both testes aga...

Transverse power Doppler image of both testes again illustrates an enlarged, avascular left testicle.

Testicular torsion. Transverse color Doppler imag...Media file 8: Testicular torsion. Transverse color Doppler image of the left groin illustrates an undescended testicle without flow.
Testicular torsion. Transverse color Doppler imag...

Testicular torsion. Transverse color Doppler image of the left groin illustrates an undescended testicle without flow.

Testicular torsion. Epididymitis. Longitudinal co...Media file 9: Testicular torsion. Epididymitis. Longitudinal color Doppler image depicts normal vascularity of the right testicle, with increased flow in the epididymal tail and a small hydrocele.
Testicular torsion. Epididymitis. Longitudinal co...

Testicular torsion. Epididymitis. Longitudinal color Doppler image depicts normal vascularity of the right testicle, with increased flow in the epididymal tail and a small hydrocele.

Testicular torsion. Epididymo-orchitis. Longitudi...Media file 10: Testicular torsion. Epididymo-orchitis. Longitudinal color Doppler image of the left testis shows diffuse, markedly increased vascularity.
Testicular torsion. Epididymo-orchitis. Longitudi...

Testicular torsion. Epididymo-orchitis. Longitudinal color Doppler image of the left testis shows diffuse, markedly increased vascularity.

Testicular torsion. Epididymo-orchitis. Transvers...Media file 11: Testicular torsion. Epididymo-orchitis. Transverse color Doppler image demonstrates increased epididymal flow and a hydrocele.
Testicular torsion. Epididymo-orchitis. Transvers...

Testicular torsion. Epididymo-orchitis. Transverse color Doppler image demonstrates increased epididymal flow and a hydrocele.

Testicular torsion. Scrotal hernia. Transverse c...Media file 12: Testicular torsion. Scrotal hernia. Transverse color Doppler image of the left hemiscrotum shows heterogeneous mass superior to the testicle, with small vessels depicted.
Testicular torsion. Scrotal hernia. Transverse c...

Testicular torsion. Scrotal hernia. Transverse color Doppler image of the left hemiscrotum shows heterogeneous mass superior to the testicle, with small vessels depicted.

Testicular torsion. Scrotal trauma. Transverse co...Media file 13: Testicular torsion. Scrotal trauma. Transverse color Doppler image demonstrates an enlarged, non-hypervascular epididymis (EPID) adjacent to the upper testicle (TEST).
Testicular torsion. Scrotal trauma. Transverse co...

Testicular torsion. Scrotal trauma. Transverse color Doppler image demonstrates an enlarged, non-hypervascular epididymis (EPID) adjacent to the upper testicle (TEST).

Testicular torsion. Testicular tumor. Transverse ...Media file 14: Testicular torsion. Testicular tumor. Transverse color Doppler image displays a hypervascular mass in the periphery of the testis.
Testicular torsion. Testicular tumor. Transverse ...

Testicular torsion. Testicular tumor. Transverse color Doppler image displays a hypervascular mass in the periphery of the testis.

More on Testicular Torsion

Overview: Testicular Torsion
Imaging: Testicular Torsion
Follow-up: Testicular Torsion
Multimedia: Testicular Torsion
References

References

  1. Lin EP, Bhatt S, Rubens DJ, Dogra VS. Testicular torsion: twists and turns. Semin Ultrasound CT MR. Aug 2007;28(4):317-28. [Medline].

  2. Watanabe Y, Nagayama M, Okumura A, Amoh Y, Suga T, Terai A. MR imaging of testicular torsion: features of testicular hemorrhagic necrosis and clinical outcomes. J Magn Reson Imaging. Jul 2007;26(1):100-8. [Medline].

  3. Baud C, Veyrac C, Couture A, Ferran JL. Spiral twist of the spermatic cord: a reliable sign of testicular torsion. Pediatr Radiol. Dec 1998;28(12):950-4. [Medline].

  4. Srinivasan AK, Freyle J, Gitlin JS, Palmer LS. Climatic conditions and the risk of testicular torsion in adolescent males. J Urol. Dec 2007;178(6):2585-8; discussion 2588. [Medline].

  5. Liu CC, Huang SP, Chou YH, Li CC, Wu MT, Huang CH. Clinical presentation of acute scrotum in young males. Kaohsiung J Med Sci. Jun 2007;23(6):281-6. [Medline].

  6. Chiang MC, Chen HW, Fu RH, Lien R, Wang TM, Hsu JF. Clinical features of testicular torsion and epididymo-orchitis in infants younger than 3 months. J Pediatr Surg. Sep 2007;42(9):1574-7. [Medline].

  7. Mazzu D, Jeffrey RB Jr, Ralls PW. Lymphoma and leukemia involving the testicles: findings on gray-scale and color Doppler sonography. AJR Am J Roentgenol. Mar 1995;164(3):645-7. [Medline].

  8. Pearl MS, Hill MC. Ultrasound of the scrotum. Semin Ultrasound CT MR. Aug 2007;28(4):225-48. [Medline].

  9. Barth RA, Shortliffe LD. Normal pediatric testis: comparison of power Doppler and color Doppler US in the detection of blood flow. Radiology. Aug 1997;204(2):389-93. [Medline].

  10. Albrecht T, Lotzof K, Hussain HK, et al. Power Doppler US of the normal prepubertal testis: does it live up to its promises?. Radiology. Apr 1997;203(1):227-31. [Medline].

  11. Lee FT Jr, Winter DB, Madsen FA, et al. Conventional color Doppler velocity sonography versus color Doppler energy sonography for the diagnosis of acute experimental torsion of the spermatic cord. AJR Am J Roentgenol. Sep 1996;167(3):785-90. [Medline].

  12. Patriquin HB, Yazbeck S, Trinh B, et al. Testicular torsion in infants and children: diagnosis with Doppler sonography. Radiology. Sep 1993;188(3):781-5. [Medline].

  13. Coley BD, Frush DP, Babcock DS, et al. Acute testicular torsion: comparison of unenhanced and contrast- enhanced power Doppler US, color Doppler US, and radionuclide imaging. Radiology. May 1996;199(2):441-6. [Medline].

  14. Middleton WD, Siegel BA, Melson GL, et al. Acute scrotal disorders: prospective comparison of color Doppler US and testicular scintigraphy. Radiology. Oct 1990;177(1):177-81. [Medline].

  15. Yuan Z, Luo Q, Chen L, et al. Clinical study of scrotum scintigraphy in 49 patients with acute scrotal pain: a comparison with ultrasonography. Ann Nucl Med. Jun 2001;15(3):225-9. [Medline].

  16. Paltiel HJ, Connolly LP, Atala A, et al. Acute scrotal symptoms in boys with an indeterminate clinical presentation: comparison of color Doppler sonography and scintigraphy. Radiology. Apr 1998;207(1):223-31. [Medline].

  17. Trambert MA, Mattrey RF, Levine D, Berthoty DP. Subacute scrotal pain: evaluation of torsion versus epididymitis with MR imaging. Radiology. Apr 1990;175(1):53-6. [Medline].

  18. Watanabe Y, Dohke M, Ohkubo K, et al. Scrotal disorders: evaluation of testicular enhancement patterns at dynamic contrast-enhanced subtraction MR imaging. Radiology. Oct 2000;217(1):219-27. [Medline].

  19. Lerner RM, Mevorach RA, Hulbert WC, Rabinowitz R. Color Doppler US in the evaluation of acute scrotal disease. Radiology. Aug 1990;176(2):355-8. [Medline].

  20. Gordon LM, Stein SM, Ralls PW. Traumatic epididymitis: evaluation with color Doppler sonography. AJR Am J Roentgenol. Jun 1996;166(6):1323-5. [Medline].

  21. Horstman WG, Middleton WD, Melson GL. Scrotal inflammatory disease: color Doppler US findings. Radiology. Apr 1991;179(1):55-9. [Medline].

  22. Bader TR, Kammerhuber F, Herneth AM. Testicular blood flow in boys as assessed at color Doppler and power Doppler sonography. Radiology. Feb 1997;202(2):559-64. [Medline].

  23. Atkinson GO Jr, Patrick LE, Ball TI Jr, et al. The normal and abnormal scrotum in children: evaluation with color Doppler sonography. AJR Am J Roentgenol. Mar 1992;158(3):613-7. [Medline].

  24. Luker GD, Siegel MJ. Color Doppler sonography of the scrotum in children. AJR Am J Roentgenol. Sep 1994;163(3):649-55. [Medline].

  25. Luker GD, Siegel MJ. Scrotal US in pediatric patients: comparison of power and standard color Doppler US. Radiology. Feb 1996;198(2):381-5. [Medline].

  26. Burks DD, Markey BJ, Burkhard TK, et al. Suspected testicular torsion and ischemia: evaluation with color Doppler sonography. Radiology. Jun 1990;175(3):815-21. [Medline].

  27. Al-Salem AH. Intrauterine testicular torsion: a surgical emergency. J Pediatr Surg. Nov 2007;42(11):1887-91. [Medline].

Further Reading

Keywords

torsion of the spermatic cord, spermatic cord torsion, extravaginal torsion, intravaginal torsion, torsed testis, torsed testes, torsed testicles, retorsion, detorsion

Contributor Information and Disclosures

Author

, Vice Chair, Vice Chair, Department of Radiology, The University of Chicago
, Vice Chair is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, Chicago Medical Society, Illinois State Medical Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

John L Haddad, MD, Clinical Associate Professor, Department of Radiology, Weill Medical College of Cornell University; Director of Body MRI, Department of Radiology, Methodist Hospital in Houston
John L Haddad, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Arnold C Friedman, MD, FACR, Associate Chairman, Department of Radiology, University of Florida Health Science Center; Chief, Department of Radiology, Shands-Jacksonville Hospital
Arnold C Friedman, MD, FACR is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Clinical Assistant Professor of Radiology, University of Washington School of Medicine; Consulting Radiologist, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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