Torsion of the testicular appendage. Sonographic diagnosis.
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.
Cohen
H L
HL
Department of Radiology, North Shore University Hospital-Cornell University Medical College, Manhasset, New York.
Shapiro
M A
MA
Haller
J O
JO
Glassberg
K
K
D000293:Adolescent; D002648:Child; D006801:Humans; D008297:Male; D013086:Spermatic Cord Torsion / Q000000981:diagnostic imaging*; D014463:Ultrasonography