[Testicular exploration by Doppler ultrasonography in children. Importance, indications, limitations. Apropos of 90 cases].
The authors evaluate the testicular blood flow by Doppler stethoscope in 90 infants and children; they tell two indications: In emergency the most common is "acute scrotal swelling": 78 cases, 4 false negative are reported in diagnosis of torsion of the spermatic cord; the limit of the Doppler examination are the possibility of a interepididymo-testicular torsion and, above all, the inflammation of the scrotal wall. If Doppler examination are in agreement, unnecessary surgical explorations must be avoided. Outside emergency, Doppler examination may be help-full to evaluate varicocele and to control some surgical operation involving spermatic cord (12 cases).
D002648:Child; D004487:Edema / Q000175:diagnosis; D004630:Emergencies; D004823:Epididymitis / Q000175:diagnosis; D006406:Hematoma / Q000175:diagnosis; D006547:Hernia / Q000175:diagnosis; D006801:Humans; D008297:Male; D009920:Orchitis / Q000175:diagnosis; D012039:Regional Blood Flow; D012611:Scrotum; D013086:Spermatic Cord Torsion / Q000175:diagnosis; D013733:Testicular Diseases / Q000175:diagnosis; D013737:Testis / Q000098:blood supply*; D014463:Ultrasonography; D014646:Varicocele / Q000175:diagnosis
Exploration testiculaire par ultrasonographie Doppler chez l'enfant. Intérêt, indication, limites. A propos de 90 cas.