title: Torsion of the testicular appendage. Sonographic diagnosis.
abstract: Torsion of the testicular appendages may simulate the clinical and physical examination findings of testicular torsion. Real-time imaging and duplex Doppler scanning aided the diagnosis of this entity in three children. The testes appear normal on sonograms and have normal vascular flow. A circular mass of increased echogenicity with a variably sized central hypoechoic region is seen adjacent to the testicle. We could not relate variations in echogenicity to time delay between clinical pain and sonographic examination.
authors.affiliation: Department of Radiology, North Shore University Hospital-Cornell University Medical College, Manhasset, New York.
authors.forename: H L
authors.initials: HL
authors.lastname: Cohen
authors.forename: M A
authors.initials: MA
authors.lastname: Shapiro
authors.forename: J O
authors.initials: JO
authors.lastname: Haller
authors.forename: K
authors.initials: K
authors.lastname: Glassberg
mesh_terms: D000293:Adolescent; D002648:Child; D006801:Humans; D008297:Male; D013086:Spermatic Cord Torsion / Q000000981:diagnostic imaging*; D014463:Ultrasonography