title: Evaluation of acute scrotum pain with testicular scanning.
abstract: Emergency room physicians frequently are faced with the evaluation of the patient with acute testicular pain. The rapid differentiation between testicular torsion and acute epididymitis is necessary although frequently difficult due to an atypical presentation. We describe four patients with testicular pain in whom testicular scanning provided useful adjunctive information regarding diagnosis. This technique clearly differentiates acute torsion, acute epididymitis, testicular rupture, and missed torsion with abscess formation, prompting appropriate therapy in each case. Testicular scanning provides a rapid, noninvasive method to assist in the evaluation of testicular pain.
authors.forename: D C
authors.initials: DC
authors.lastname: May
authors.forename: P
authors.initials: P
authors.lastname: Lesh
authors.forename: S
authors.initials: S
authors.lastname: Lewis
authors.forename: R J
authors.initials: RJ
authors.lastname: Anderson
mesh_terms: D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D004823:Epididymitis / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011877:Radionuclide Imaging; D012421:Rupture; D013670:Sodium Pertechnetate Tc 99m; D013086:Spermatic Cord Torsion / Q000000981:diagnostic imaging*; D013737:Testis / Q000000981:diagnostic imaging / Q000293:injuries
chemical_list: D013670:Sodium Pertechnetate Tc 99m